AMANDA FULLER
NPI 1386420644
Nurse Practitioner - Psychiatric/Mental Health in Binghamton, NY

Active since September 04, 2023PECOS EnrolledAccepts Medicare Assignment
33 MITCHELL AVE, BINGHAMTON, NY 13903(607) 762-2340 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Fuller NPPES

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

AMANDA FULLER (NPI 1386420644) is an individual psychiatric/mental health provider in Binghamton, New York, licensed in New York (405205) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1386420644
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA FULLER
Location Address33 MITCHELL AVEBinghamton, NY 13903-1642
Mailing Address9 Bradley StOwego, NY 13827-1701 · (607) 343-9753
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 4, 2023
NPPES CertifiedSeptember 3, 2023
✔ NPI 1386420644 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 NY · 405205
33 MITCHELL AVE, Binghamton, NY 13903

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 Fuller 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 ID9133578602
PECOS Enrollment IDI20231208001712
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 Fuller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group
Psychiatry
1500 VESTAL PKWY E STE 102
Vestal, NY 13850
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13903 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Social Worker (Clinical)
33 MITCHELL AVE, SUITE G-80
BINGHAMTON, NY 13903
Student in an Organized Health Care Education/Training Program
33 MITCHELL AVE
BINGHAMTON, NY 13903
Student in an Organized Health Care Education/Training Program
33 MITCHELL AVE
BINGHAMTON, NY 13903
Internal Medicine
33 MITCHELL AVE
BINGHAMTON, NY 13903
Physician Assistant
33 MITCHELL AVE
BINGHAMTON, NY 13903
Student in an Organized Health Care Education/Training Program
33 MITCHELL AVE
BINGHAMTON, NY 13903
Social Worker
33 MITCHELL AVE
BINGHAMTON, NY 13903
Physician Assistant
33 MITCHELL AVE, SUITE G-50
BINGHAMTON, NY 13903

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 Fuller's NPI number?

The NPI number for Amanda Fuller is 1386420644. It was assigned to this individual provider in the NPPES registry on September 4, 2023.

Where is Amanda Fuller located?

Amanda Fuller practices at 33 Mitchell Ave, Binghamton, NY 13903. The listed phone number is (607) 762-2340.

What is Amanda Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Fuller enrolled in Medicare?

Yes. Amanda Fuller 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 Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Fuller reassigns Medicare benefits to 2 organizations: United Health Services Hospitals, Inc. (Johnson City, NY) and Southern Tier Psychiatry PLLC (Vestal, NY). 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 Fuller'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 Fuller was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.