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AMANDA LEE
NPI 1154647261
Pediatrics in Caldwell, ID

Active since April 14, 2010PECOS Enrolled
1620 S KIMBALL AVE, CALDWELL, ID 83605(208) 505-2950 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2022, Mar 22, 2021 (2 updates tracked since 2021).

About Amanda Lee NPPES

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

AMANDA LEE (NPI 1154647261) is an individual pediatrics provider in Caldwell, Idaho, licensed in Idaho (0-1639) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Toppenish.

NPPES Registry Identity

NPI1154647261
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMANDA LEE
Location Address1620 S KIMBALL AVECaldwell, ID 83605-4547
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 505-2950
Sole ProprietorNo
Enumeration DateApril 14, 2010
Last NPPES UpdateApril 15, 20222 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
✔ NPI 1154647261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in ID · 0-1639✔ Licensed in NM · A-1749-13✔ Licensed in WA · OP60471366
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1620 S KIMBALL AVE, Caldwell, ID 83605
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Secondary Practice Location 1

Location 1518 W 1st Ave, Toppenish Medical-Dental ClinicToppenish, WA 98948-1564 · Phone (509) 865-5600 · Fax (509) 865-5783

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC
26 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL GAIL BELCOURT CPNP-PC
Nurse Practitioner (Pediatrics)
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 505-2950
DR. MICHAEL S MORRIS MD
Urology
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 454-9181
CALDWELL UROLOGY , P.L.L.C.
Specialist
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 454-9181
DR. JENNICA BROOKE ARMSTRONG DO
Pediatrics
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 505-2950
DONALD K STRITZKE MD
Urology
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 454-9181
KRYSTAL LYNN MANNING
Marriage & Family Therapist
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 505-2950
ST LUKES REGIONAL MEDICAL CENTER
Urology
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 454-9181
ST LUKES REGIONAL MEDICAL CENTER
Urology
1620 S KIMBALL AVE
CALDWELL, ID 83605
Canyon County (208) 454-9181

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 Lee's NPI number?

The NPI number for Amanda Lee is 1154647261. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Where is Amanda Lee located?

Amanda Lee practices at 1620 S Kimball Ave, Caldwell, ID 83605. The listed phone number is (208) 505-2950.

What is Amanda Lee's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amanda Lee enrolled in Medicare?

Yes. Amanda Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Lee reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Lee accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Amanda Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Lee was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.