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AMANDA NICOLE COON FNP
NPI 1265304489
Surgery - Vascular Surgery in Fredericksburg, VA

Active since September 18, 2025PECOS EnrolledAccepts Medicare Assignment
1101 SAM PERRY BLVD STE 400, FREDERICKSBURG, VA 22401(540) 741-2865 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Nicole Coon Fnp NPPES

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

AMANDA NICOLE COON FNP (NPI 1265304489) is an individual vascular surgery provider in Fredericksburg, Virginia, licensed in Virginia (0024194730) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and maintains a secondary practice location in Fredericksburg.

NPPES Registry Identity

NPI1265304489
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameAMANDA NICOLE COONCredential: FNP
Location Address1101 SAM PERRY BLVD STE 400Fredericksburg, VA 22401-4466
Mailing Address6900 Ridge Way DrFredericksburg, VA 22407-6276 · (804) 205-0510
Phone(540) 741-2865
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1265304489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in VA · 0024194730
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 0024194730 (VA)
1101 SAM PERRY BLVD STE 400, Fredericksburg, VA 22401
Open in Google Maps ↗

Secondary Practice Location 1

Location 11001 Sam Perry BlvdFredericksburg, VA 22401-4453 · Phone (540) 741-1240

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 Nicole Coon Fnp 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 ID2466939996
PECOS Enrollment IDI20260127001308
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 Reassignment

Medicare enrollment records show Amanda Coon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary Washington Healthcare Providers LLC
0.1 mi
Hospitalist
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
  • Reassigned Medicare billing, Virginia enrollment
  • 323 clinicians in this Medicare group
NPI 1750826277 (540) 741-1821

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.

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

WALTER ALVARADO NUNEZ
Physician Assistant
1101 SAM PERRY BLVD STE 400
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-2871
RICKY ALEXANDER PEREZ-MACIA
Student in an Organized Health Care Education/Training Program
1101 SAM PERRY BLVD STE 400
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-2865
MICHAEL CALLANDER M.D.
Surgery (Surgical Critical Care)
1101 SAM PERRY BLVD STE 400
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-2871
MR. MICAIAH LANDRUM
Physician Assistant
1101 SAM PERRY BLVD STE 400
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-2871
MELISSA MURPHY PA-C
Physician Assistant
1101 SAM PERRY BLVD STE 400
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-2871
KIMBERLY BETH GORDON PA-C
Physician Assistant
1101 SAM PERRY BLVD STE 400
FREDERICKSBURG, VA 22401
Fredericksburg City (540) 741-2871

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 Coon's NPI number?

The NPI number for Amanda Coon is 1265304489. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Amanda Coon located?

Amanda Coon practices at 1101 Sam Perry Blvd Ste 400, Fredericksburg, VA 22401. The listed phone number is (540) 741-2865.

What is Amanda Coon's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Amanda Coon enrolled in Medicare?

Yes. Amanda Coon 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 Coon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Coon reassigns Medicare benefits to Mary Washington Healthcare Providers LLC (Fredericksburg, VA). 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 Coon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amanda Coon affiliated with any hospitals?

According to CMS data, Amanda Coon is affiliated with Mary Washington Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Coon was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.