MRS. AMANDA DANIELLE POLING APRN FNP-C
NPI 1336948470
Nurse Practitioner - Family in Fairmont, WV

Active since March 11, 2025PECOS Enrolled
1543 COUNTRY CLUB RD # A, FAIRMONT, WV 26554(304) 363-2273 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Amanda Danielle Poling Aprn Fnp-c NPPES

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

MRS. AMANDA DANIELLE POLING APRN FNP-C (NPI 1336948470) is an individual family provider in Fairmont, West Virginia, licensed in West Virginia (122138) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Of Buckhannon, Inc, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1336948470
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMANDA DANIELLE POLINGCredential: APRN FNP-C
Location Address1543 COUNTRY CLUB RD # AFairmont, WV 26554-1306
Mailing Address4055 Valley View Ln Ste 700Dallas, TX 75244-5045 · (304) 838-2417
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 11, 2025
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
NPI 1336948470 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 WV · 122138
1543 COUNTRY CLUB RD # A, Fairmont, WV 26554

Secondary Practice Location 1

Location 14055 Valley View Ln Ste 700Dallas, TX 75244-5045 · Phone (304) 838-2417

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Amanda Danielle Poling Aprn Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517458581
PECOS Enrollment IDI20251118001568
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26554 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 3

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

Nurse Practitioner (Family)
1543 COUNTRY CLUB RD # A
FAIRMONT, WV 26554
Nurse Practitioner (Family)
1543 COUNTRY CLUB RD # A
FAIRMONT, WV 26554
Nurse Practitioner
1543 COUNTRY CLUB RD # A
FAIRMONT, WV 26554

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 Poling's NPI number?

The NPI number for Amanda Poling is 1336948470. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Amanda Poling located?

Amanda Poling practices at 1543 Country Club Rd # A, Fairmont, WV 26554. The listed phone number is (304) 363-2273.

What is Amanda Poling's specialty?

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

Is Amanda Poling enrolled in Medicare?

Yes. Amanda Poling is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Poling accept?

Health plans from CareSource list Amanda Poling 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.

Is Amanda Poling affiliated with any hospitals?

According to CMS data, Amanda Poling is affiliated with St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Amanda Poling was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.