AMANDA STASIAK PMHNP
NPI 1376371229
Nurse Practitioner - Psychiatric/Mental Health in Alpharetta, GA

Q: What is Amanda Stasiak's NPI number?

The NPI number for Amanda Stasiak is 1376371229. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Q: What is Amanda Stasiak'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 Stasiak was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 23, 2024PECOS Enrolled

11720 AMBER PARK DR STE 160, ALPHARETTA, GA 30009(678) 469-3022(404) 738-1655 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Nov 13, 2025, May 29, 2025 and 1 more (4 updates tracked since 2024).

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About Amanda Stasiak Pmhnp NPPES

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

AMANDA STASIAK PMHNP (NPI 1376371229) is an individual psychiatric/mental health provider in Alpharetta, Georgia, licensed in Georgia (180961) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376371229

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameAMANDA STASIAKCredential: PMHNP

Location Address11720 AMBER PARK DR STE 160Alpharetta, GA 30009-2271

Mailing Address11720 Amber Park Dr Ste 160Alpharetta, GA 30009-2271 · (678) 469-3022

Phone(678) 469-3022

Fax(404) 738-1655

Sole ProprietorYes

Enumeration DateJuly 23, 2024

Last NPPES UpdateJune 5, 20264 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1376371229 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 GA · 180961

11720 AMBER PARK DR STE 160, Alpharetta, GA 30009

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Amanda Stasiak Pmhnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30009 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 10

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

JOCLYN SIMS WINDOM LPC

Counselor (Mental Health)