AMANDA FISHER CRADDOCK
NPI 1275356206
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Q: What is Amanda Craddock's NPI number?

The NPI number for Amanda Craddock is 1275356206. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Q: What is Amanda Craddock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Craddock was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 07, 2024PECOS EnrolledAccepts Medicare Assignment

199 SCHENCK AVE PH 6, BROOKLYN, NY 11207(864) 367-3161 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 5, 2026, Nov 7, 2024 (2 updates tracked since 2024).

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About Amanda Fisher Craddock NPPES

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

AMANDA FISHER CRADDOCK (NPI 1275356206) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (F406770-01) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1275356206

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameAMANDA FISHER CRADDOCK

Location Address199 SCHENCK AVE PH 6Brooklyn, NY 11207-4580

Mailing Address199 Schenck Ave Ph 6Brooklyn, NY 11207-4580 · (864) 367-3161

Phone(864) 367-3161

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 7, 2024

Last NPPES UpdateMay 5, 20262 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1275356206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NY · F406770-01✔ Licensed in SC · 29243

199 SCHENCK AVE PH 6, Brooklyn, NY 11207

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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 Fisher Craddock 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 ID9638607393

PECOS Enrollment IDI20250108002046

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11207 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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 Craddock's NPI number?

The NPI number for Amanda Craddock is 1275356206. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Amanda Craddock located?

Amanda Craddock practices at 199 Schenck Ave Ph 6, Brooklyn, NY 11207. The listed phone number is (864) 367-3161.

What is Amanda Craddock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Craddock enrolled in Medicare?

Yes. Amanda Craddock 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 Craddock accept?

Health plans from BlueCross BlueShield of South Carolina list Amanda Craddock 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.

When was this NPI record last updated?

The NPPES record for Amanda Craddock was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.