MRS. AMANDA LEE IWELUNMOR NP
NPI 1154749356
Nurse Practitioner in Roswell, GA

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
976 MANSELL RD, ROSWELL, GA 30076(770) 800-3277 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2024, Dec 19, 2016 (2 updates tracked since 2016).

About Mrs. Amanda Lee Iwelunmor Np NPPES

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

MRS. AMANDA LEE IWELUNMOR NP (NPI 1154749356) is an individual nurse practitioner in Roswell, Georgia, licensed in Georgia (RN260862) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1154749356
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. AMANDA LEE IWELUNMORCredential: NP
Location Address976 MANSELL RDRoswell, GA 30076-1533
Mailing Address7401 Blackmon Rd, Apt 2805Columbus, GA 31909-4489 · (734) 812-8070
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 3, 2014
Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
NPI 1154749356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN260862
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704272706 (MI), RN260862 (GA)
976 MANSELL RD, Roswell, GA 30076

Secondary Practice Location 1

Location 17401 Blackmon Rd, APT 2805Columbus, GA 31909-4489 · Phone (734) 812-8070

Accepted Insurance

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

Mrs. Amanda Lee Iwelunmor Np 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 ID547547150
PECOS Enrollment IDI20170509002206
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Family Medicine
976 MANSELL RD
ROSWELL, GA 30076

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 Iwelunmor's NPI number?

The NPI number for Amanda Iwelunmor is 1154749356. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Amanda Iwelunmor located?

Amanda Iwelunmor practices at 976 Mansell Rd, Roswell, GA 30076. The listed phone number is (770) 800-3277.

What is Amanda Iwelunmor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amanda Iwelunmor enrolled in Medicare?

Yes. Amanda Iwelunmor 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.

What insurance does Amanda Iwelunmor accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Amanda Iwelunmor 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.

Is Amanda Iwelunmor affiliated with any hospitals?

According to CMS data, Amanda Iwelunmor is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Iwelunmor was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.