MS. AMANDA C MAMRAK PA-C
NPI 1255627196
Physician Assistant in Meridian, ID

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
3399 E LOUISE DR STE 400, MERIDIAN, ID 83642(208) 706-4650(208) 706-4651 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2025, Jan 7, 2021 (2 updates tracked since 2021).

About Ms. Amanda C Mamrak Pa-c NPPES

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

MS. AMANDA C MAMRAK PA-C (NPI 1255627196) is an individual physician assistant in Meridian, Idaho, licensed in Idaho (3261975) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1255627196
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. AMANDA C MAMRAKCredential: PA-C
Location Address3399 E LOUISE DR STE 400Meridian, ID 83642-5212
Mailing Address190 E Bannock StBoise, ID 83712-6241
Fax(208) 706-4651
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 20, 2011
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
NPI 1255627196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in ID · 3261975 Licensed in PA · MA054911
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3399 E LOUISE DR STE 400, Meridian, ID 83642

Secondary Practice Location 1

Location 1100 N Academy AveDanville, PA 17822-2170 · Phone (570) 271-6361

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

Ms. Amanda C Mamrak Pa-c 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 ID8729256458
PECOS Enrollment IDI20250513003857
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.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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 6

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

Physician Assistant (Surgical)
3399 E LOUISE DR STE 400
MERIDIAN, ID 83642
Surgery
3399 E LOUISE DR STE 400
MERIDIAN, ID 83642
Physician Assistant
3399 E LOUISE DR STE 400
MERIDIAN, ID 83642
Physician Assistant
3399 E LOUISE DR STE 400
MERIDIAN, ID 83642
Surgery
3399 E LOUISE DR STE 400
MERIDIAN, ID 83642
Plastic Surgery
3399 E LOUISE DR STE 400
MERIDIAN, ID 83642

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 Mamrak's NPI number?

The NPI number for Amanda Mamrak is 1255627196. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Amanda Mamrak located?

Amanda Mamrak practices at 3399 E Louise Dr Ste 400, Meridian, ID 83642. The listed phone number is (208) 706-4650.

What is Amanda Mamrak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Mamrak enrolled in Medicare?

Yes. Amanda Mamrak 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 Mamrak accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Amanda Mamrak 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 Mamrak affiliated with any hospitals?

According to CMS data, Amanda Mamrak is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Mamrak was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.