AMANDA L WHEELER FNP-BC
NPI 1174118590
Nurse Practitioner - Family in Latham, NY
About Amanda L Wheeler Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA L WHEELER FNP-BC (NPI 1174118590) is an individual family provider in Latham, New York, licensed in New York (347393) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and maintains a secondary practice location in Albany.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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 L Wheeler Fnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Amanda Wheeler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Latham, NY 12110
- Reassigned Medicare billing, New York enrollment
- 474 clinicians in this Medicare group
Albany, NY 12208
- Reassigned Medicare billing, New York enrollment
- 1,640 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.
Ellis Hospital
Acute Care Hospitals · Schenectady, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LATHAM, NY 12110
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 Wheeler's NPI number?
The NPI number for Amanda Wheeler is 1174118590. It was assigned to this individual provider in the NPPES registry on March 8, 2021. The provider is also known as Amanda L Kucskar.
Where is Amanda Wheeler located?
Amanda Wheeler practices at 6 Wellness Way Ste 108, Latham, NY 12110. The listed phone number is (518) 370-7937.
What is Amanda Wheeler's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Wheeler enrolled in Medicare?
Yes. Amanda Wheeler 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 Wheeler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Wheeler reassigns Medicare benefits to 2 organizations: Community Care Physicians, PLLC (Latham, NY) and Albany Medical College (Albany, 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 Wheeler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Amanda Wheeler affiliated with any hospitals?
According to CMS data, Amanda Wheeler is affiliated with Ellis Hospital.
When was this NPI record last updated?
The NPPES record for Amanda Wheeler was last updated on February 14, 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.
# Amanda L Wheeler, FNP-BC · NPI 1174118590
Family physician in Latham, New York. Individual provider, active in the CMS NPPES registry since March 8, 2021.
## Identity
- **NPI:** 1174118590 (Entity type: Individual)
- **Enumerated:** March 8, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 347393 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 WELLNESS WAY STE 108, Latham, NY 12110-2156
- **Phone:** (518) 370-7937 · **Fax:** (518) 377-2983
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Care Physicians, PLLC (NPI 1922048370, Latham, NY); Albany Medical College (NPI 1497921688, Albany, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 14, 2024
- **Other identifiers:** Medicaid 06471952 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1174118590) · Data from the CMS NPPES public registry.