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

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: October 18, 2026.

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

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
Open in Google Maps ↗

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

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 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 IDI20260408003727
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 Craddock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metro Community Health Centers, Inc.
5.2 mi
Federally Qualified Health Center (FQHC)
177 LIVINGSTON ST LOWR LEVEL
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 58 clinicians in this Medicare group
NPI 1972059467 (718) 855-7707

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 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.

Which organization bills Medicare for Amanda Craddock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Craddock reassigns Medicare benefits to Metro Community Health Centers, Inc. (Brooklyn, NY). 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 Craddock'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 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 5 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.