AMANDA ROSE GLASS
NPI 1225814064
Nurse Practitioner - Adult Health in Fort Myers, FL

Q: What is Amanda Glass's NPI number?

The NPI number for Amanda Glass is 1225814064. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Q: What is Amanda Glass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Glass was last updated on January 10, 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.

Active since September 07, 2023PECOS EnrolledAccepts Medicare Assignment

9800 S HEALTHPARK DR STE 320, FORT MYERS, FL 33908(239) 343-6350(239) 343-4738 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2024, Sep 7, 2023 (2 updates tracked since 2023).

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About Amanda Rose Glass NPPES

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

AMANDA ROSE GLASS (NPI 1225814064) is an individual adult health provider in Fort Myers, Florida, licensed in Florida (APRN11025009) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225814064

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameAMANDA ROSE GLASS

Location Address9800 S HEALTHPARK DR STE 320Fort Myers, FL 33908-3630

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-6350 · Fax (239) 343-4738

Phone(239) 343-6350

Fax(239) 343-4738

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 7, 2023

Last NPPES UpdateJanuary 10, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2024

✔ NPI 1225814064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · APRN11025009

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN11025009 (FL)

9800 S HEALTHPARK DR STE 320, Fort Myers, FL 33908

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Other Identifiers 1

Medicaid120416400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Amanda Rose Glass 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 ID8628426053

PECOS Enrollment IDI20231127000748

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

84 services79 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

37 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 14

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

DR. JUAN CARLOS LOPEZ-MATTEI M.D.

Internal Medicine (Cardiovascular Disease)