1. Home
  2. Directory
  3. NPI Profile

MRS. AMANDA LEIGH KNOBLOCH NP-C
NPI 1396110276
Nurse Practitioner - Family in Fults, IL

Active since December 03, 2015PECOS Enrolled

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Amanda Leigh Knobloch Np-c NPPES

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

MRS. AMANDA LEIGH KNOBLOCH NP-C (NPI 1396110276) is an individual family provider in Fults, Illinois, licensed in Missouri (2015042059) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396110276
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AMANDA LEIGH KNOBLOCHCredential: NP-C
Location Address3601 LL RDFults, IL 62244-1231
Mailing Address3601 Ll RdFults, IL 62244-1231 · (618) 558-2497
Phone(618) 558-2497
Sole ProprietorYes
Enumeration DateDecember 3, 2015
✔ NPI 1396110276 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 MO · 2015042059
3601 LL RD, Fults, IL 62244
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Leigh Pittman

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 Leigh Knobloch Np-c 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 62244 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,375 services$0.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Knobloch's NPI number?

The NPI number for Amanda Knobloch is 1396110276. It was assigned to this individual provider in the NPPES registry on December 3, 2015. The provider is also known as Amanda Leigh Pittman.

Where is Amanda Knobloch located?

Amanda Knobloch practices at 3601 Ll Rd, Fults, IL 62244. The listed phone number is (618) 558-2497.

What is Amanda Knobloch's specialty?

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

Is Amanda Knobloch enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Knobloch was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.