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AMANDA SMITH FNP-BC
NPI 1336915834
Nurse Practitioner - Family in Sunbury, OH

Active since November 27, 2023PECOS EnrolledAccepts Medicare Assignment
692 HOLBROOK DR, SUNBURY, OH 43074(614) 395-4734 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Smith Fnp-bc NPPES

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

AMANDA SMITH FNP-BC (NPI 1336915834) is an individual family provider in Sunbury, Ohio, licensed in Ohio (APRN.CNP.0035430) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1336915834
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA SMITHCredential: FNP-BC
Location Address692 HOLBROOK DRSunbury, OH 43074-7682
Mailing Address692 Holbrook DrSunbury, OH 43074-7682 · (614) 395-4734
Phone(614) 395-4734
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
✔ NPI 1336915834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0035430
692 HOLBROOK DR, Sunbury, OH 43074
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

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 Smith Fnp-bc 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 ID7810439809
PECOS Enrollment IDI20240605002689
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 Reassignments

2

Medicare enrollment records show Amanda Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbus Physicians Group LLC
17 mi
Interventional Pain Medicine
4995 BRADENTON AVE STE 110
Dublin, OH 43017
  • Reassigned Medicare billing, Ohio enrollment
  • 14 clinicians in this Medicare group
NPI 1467239616 (614) 515-2500
Southeast, Inc
22 mi
Mental Health (Including Community Mental Health Center)
16 W LONG ST
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 81 clinicians in this Medicare group
NPI 1932169497 (614) 225-0980

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 43074 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Smith's NPI number?

The NPI number for Amanda Smith is 1336915834. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Amanda Smith located?

Amanda Smith practices at 692 Holbrook Dr, Sunbury, OH 43074. The listed phone number is (614) 395-4734.

What is Amanda Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Smith enrolled in Medicare?

Yes. Amanda Smith 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 organizations bill Medicare for Amanda Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Smith reassigns Medicare benefits to 2 organizations: Columbus Physicians Group LLC (Dublin, OH) and Southeast, Inc (Columbus, OH). Each 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 Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Smith accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Amanda Smith 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 Smith was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.