MRS. AMANDA MARIA KWIATKOWSKI CRNP
NPI 1205659935
Nurse Practitioner - Family in Philadelphia, PA
About Mrs. Amanda Maria Kwiatkowski Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMANDA MARIA KWIATKOWSKI CRNP (NPI 1205659935) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP031128) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 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
Mrs. Amanda Maria Kwiatkowski Crnp 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 Reassignment
Medicare enrollment records show Amanda Kwiatkowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Warrington, PA 18976
- Reassigned Medicare billing, Pennsylvania enrollment
- 268 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
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 Kwiatkowski's NPI number?
The NPI number for Amanda Kwiatkowski is 1205659935. It was assigned to this individual provider in the NPPES registry on November 1, 2024. The provider is also known as Amanda Maria O'shea Rn.
Where is Amanda Kwiatkowski located?
Amanda Kwiatkowski practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 514-8101.
What is Amanda Kwiatkowski's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Kwiatkowski enrolled in Medicare?
Yes. Amanda Kwiatkowski 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 organization bills Medicare for Amanda Kwiatkowski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Kwiatkowski reassigns Medicare benefits to Via Affiliates (Warrington, PA). 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 Kwiatkowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amanda Kwiatkowski was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Mrs. Amanda Maria Kwiatkowski, CRNP · NPI 1205659935
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 1, 2024.
## Identity
- **NPI:** 1205659935 (Entity type: Individual)
- **Enumerated:** November 1, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP031128 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 N BROAD ST, Philadelphia, PA 19140-5189
- **Phone:** (215) 514-8101
## 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:** Via Affiliates (NPI 1588489272, Warrington, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 2024
## Record status
- **NPPES last updated:** November 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205659935) · Data from the CMS NPPES public registry.