AMANDA WADDELL APRN
NPI 1306943931
Nurse Practitioner - Psychiatric/Mental Health in Prestonsburg, KY

Q: What is Amanda Waddell's NPI number?

The NPI number for Amanda Waddell is 1306943931. It was assigned to this individual provider in the NPPES registry on September 17, 2006. The provider is also known as Amanda Pendley Aprn.

Q: What is Amanda Waddell'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 Waddell was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 17, 2006PECOS Enrolled

104 S FRONT AVE, PRESTONSBURG, KY 41653(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Amanda Waddell Aprn NPPES

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

AMANDA WADDELL APRN (NPI 1306943931) is an individual psychiatric/mental health provider in Prestonsburg, Kentucky, licensed in Kentucky (3003330) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306943931

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameAMANDA WADDELLCredential: APRN

Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614

Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433

Phone(606) 886-8572

Fax(606) 886-4433

Sole ProprietorNo

Enumeration DateSeptember 17, 2006

Last NPPES UpdateOctober 10, 2016

✔ NPI 1306943931 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

License✔ Licensed in KY · 3003330

104 S FRONT AVE, Prestonsburg, KY 41653

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Other Names 1

Former Name (1)Amanda Pendley Aprn

Other Identifiers 7

Other3003330KY · State Np License

Medicare UPINP23579

Medicare UPIN0601317

Medicaid78004652KY

Medicare PIN500020515KY

Other000000236830Bcbs Provider Number

Medicare PIN00437003KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Waddell Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Mountain Comprehensive Care Center, Inc.

Same address

Federally Qualified Health Center (FQHC)

104 S FRONT AVE
Prestonsburg, KY 41653

Reassigned Medicare billing, Kentucky enrollment
236 clinicians in this Medicare group

NPI 1023517679 (606) 886-8572

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

48 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41653 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 20

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

PETER SMITHWICK OLIVER MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)