AMANDA PETTUS PA-C
NPI 1144692237
Physician Assistant - Surgical in Pasadena, CA

Active since October 28, 2015PECOS EnrolledAccepts Medicare Assignment
836 S ARROYO PKWY, PASADENA, CA 91105(650) 773-8498 Get Directions Write a Review

NPPES record last updated: March 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2016, Dec 28, 2015, Nov 14, 2015 (3 updates tracked since 2015).

About Amanda Pettus Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA PETTUS PA-C (NPI 1144692237) is an individual surgical provider in Pasadena, California, licensed in California (53292) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1144692237
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameAMANDA PETTUSCredential: PA-C
Location Address836 S ARROYO PKWYPasadena, CA 91105-3212
Mailing Address20425 Sorrento Ln Apt 101Porter Ranch, CA 91326-4582 · (650) 773-8498
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 28, 2015
Last NPPES UpdateMarch 19, 20163 updates tracked since enumeration
NPI 1144692237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · 53292
836 S ARROYO PKWY, Pasadena, CA 91105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Pettus Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557664463
PECOS Enrollment IDI20221229002400
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
788 services100 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
240 services139 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
162 services110 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
94 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services70 patients
Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) J7308
Aminolevulinic Acid HCL is a medication applied to the skin to treat certain types of skin conditions. It works by making the skin more sensitive to light, which helps to kill abnormal skin cells. The 20% solution is a single dose of 354 mg.
84 services42 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Pettus's NPI number?

The NPI number for Amanda Pettus is 1144692237. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Where is Amanda Pettus located?

Amanda Pettus practices at 836 S Arroyo Pkwy, Pasadena, CA 91105. The listed phone number is (650) 773-8498.

What is Amanda Pettus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Amanda Pettus enrolled in Medicare?

Yes. Amanda Pettus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Pettus was last updated on March 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.