AMANDA ROSE WILSON NP
NPI 1164025672
Nurse Practitioner - Acute Care in Rochester, NY

Active since November 17, 2020PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
89 GENESEE ST, ROCHESTER, NY 14611(585) 723-7000 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 18, 2021, Nov 17, 2020 (2 updates tracked since 2020).

About Amanda Rose Wilson Np NPPES

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

AMANDA ROSE WILSON NP (NPI 1164025672) is an individual acute care provider in Rochester, New York, licensed in New York (431739) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1164025672
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAMANDA ROSE WILSONCredential: NP
Location Address89 GENESEE STRochester, NY 14611-3201
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 474-1224
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 17, 2020
Last NPPES UpdateJanuary 18, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
✔ NPI 1164025672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 431739
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 701776 (NY)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 431739 (NY)
89 GENESEE ST, Rochester, NY 14611

Secondary Practice Location 1

Location 11425 Portland AveRochester, NY 14621-3011 · Phone (585) 922-5067 · Fax (585) 922-2905

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Rose Wilson 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 ID5496169963
PECOS Enrollment IDI20210123000002
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 Reassignments

2

Medicare enrollment records show Amanda Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation, Substance Use Disorder
81 LAKE AVE, EVELYN BRANDON HEALTH CENTER
Rochester, NY 14608
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14611 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Registered Nurse
89 GENESEE ST
ROCHESTER, NY 14611
Home Health
89 GENESEE ST, BISHOP KEARNEY BUILDING
ROCHESTER, NY 14611
Nurse Practitioner (Family)
89 GENESEE ST, BK BUILDING, 3RD FLOOR
ROCHESTER, NY 14611
Registered Nurse (Psychiatric/Mental Health)
89 GENESEE ST
ROCHESTER, NY 14611
Home Delivered Meals
89 GENESEE ST
ROCHESTER, NY 14611
Nurse Practitioner (Pediatrics)
89 GENESEE ST
ROCHESTER, NY 14611
Clinic/Center (Adult Day Care)
89 GENESEE ST
ROCHESTER, NY 14611
Social Worker (Clinical)
89 GENESEE ST, HEALTHY STARTPROGRAM
ROCHESTER, NY 14611

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 Wilson's NPI number?

The NPI number for Amanda Wilson is 1164025672. It was assigned to this individual provider in the NPPES registry on November 17, 2020.

Where is Amanda Wilson located?

Amanda Wilson practices at 89 Genesee St, Rochester, NY 14611. The listed phone number is (585) 723-7000.

What is Amanda Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Amanda Wilson enrolled in Medicare?

Yes. Amanda Wilson 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.

Which organizations bill Medicare for Amanda Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Wilson reassigns Medicare benefits to 2 organizations: The Unity Hospital Of Rochester (Rochester, NY) and Rochester General Hospital (Rochester, NY). Each 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 Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amanda Wilson affiliated with any hospitals?

According to CMS data, Amanda Wilson is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Wilson was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.