DR. AMANDA ELIZABETH GOTTMAN DC
NPI 1366105926
Chiropractor in Palmyra, MO
About Dr. Amanda Elizabeth Gottman Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMANDA ELIZABETH GOTTMAN DC (NPI 1366105926) is an individual chiropractor in Palmyra, Missouri, licensed in Missouri (2021042434) and active in the NPI registry since October 2021.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Amanda Elizabeth Gottman Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Gottman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hannibal, MO 63401
- Reassigned Medicare billing, Missouri enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Gottman's NPI number?
The NPI number for Amanda Gottman is 1366105926. It was assigned to this individual provider in the NPPES registry on October 20, 2021. The provider is also known as Dr. Amanda Elizabeth Gifford.
Where is Amanda Gottman located?
Amanda Gottman practices at 219 S Main St, Palmyra, MO 63461. The listed phone number is (573) 769-2400.
What is Amanda Gottman's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Amanda Gottman enrolled in Medicare?
Yes. Amanda Gottman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Gottman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Gottman reassigns Medicare benefits to Root Of Wellness LLC (Hannibal, MO). 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 Gottman'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 Gottman was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Amanda Elizabeth Gottman, DC · NPI 1366105926
Chiropractor provider in Palmyra, Missouri. Individual provider, active in the CMS NPPES registry since October 20, 2021.
## Identity
- **NPI:** 1366105926 (Entity type: Individual)
- **Enumerated:** October 20, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2021042434 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 219 S MAIN ST, Palmyra, MO 63461-1649
- **Phone:** (573) 769-2400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Root Of Wellness LLC (NPI 1801775697, Hannibal, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1366105926) · Data from the CMS NPPES public registry.