AMANDA ELAINE TATTERSALL WHNP-BC
NPI 1396103222
Nurse Practitioner - Women's Health in Raleigh, NC

Q: What is Amanda Tattersall's NPI number?

The NPI number for Amanda Tattersall is 1396103222. It was assigned to this individual provider in the NPPES registry on February 6, 2016.

Q: What is Amanda Tattersall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Tattersall was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 06, 2016PECOS EnrolledAccepts Medicare Assignment

3805 COMPUTER DR, RALEIGH, NC 27609(919) 781-6200(919) 847-7471 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2017, Jun 13, 2016, Feb 6, 2016 (3 updates tracked since 2016).

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About Amanda Elaine Tattersall Whnp-bc NPPES

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

AMANDA ELAINE TATTERSALL WHNP-BC (NPI 1396103222) is an individual women's health provider in Raleigh, North Carolina, licensed in North Carolina (5008353) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of University Of South Alabama College Of Medicine (2014).

NPPES Registry Identity

NPI1396103222

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameAMANDA ELAINE TATTERSALLCredential: WHNP-BC

Location Address3805 COMPUTER DRRaleigh, NC 27609-6503

Mailing Address3805 Computer DrRaleigh, NC 27609-6503 · (919) 781-6200 · Fax (919) 783-1819

Phone(919) 781-6200

Fax(919) 847-7471

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2014

Enumeration DateFebruary 6, 2016

Last NPPES UpdateOctober 29, 20243 updates tracked since enumeration

NPPES CertifiedOctober 29, 2024

✔ NPI 1396103222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in NC · 5008353

3805 COMPUTER DR, Raleigh, NC 27609

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Elaine Tattersall Whnp-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 ID1850724816

PECOS Enrollment IDI20191204002691

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.

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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Other Providers at the Same Location NPPES 19

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

MR. PAUL BURT HARDEN JR. MD

Obstetrics & Gynecology (Obstetrics)