MRS. AMANDA RAE WHITESIDE PA-C
NPI 1396210621
Physician Assistant - Surgical in Sun City West, AZ

Q: What is Amanda Whiteside's NPI number?

The NPI number for Amanda Whiteside is 1396210621. It was assigned to this individual provider in the NPPES registry on October 13, 2018.

Q: What is Amanda Whiteside's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Whiteside was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 October 13, 2018PECOS EnrolledAccepts Medicare Assignment

82.49/100

CMS Quality Rating

14520 W GRANITE VALLEY DR STE 210, SUN CITY WEST, AZ 85375(866) 974-2673(866) 939-2673 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 11, 2025, Apr 19, 2024, Sep 20, 2019 and 2 more (5 updates tracked since 2018).

On this page

About Mrs. Amanda Rae Whiteside Pa-c NPPES

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

MRS. AMANDA RAE WHITESIDE PA-C (NPI 1396210621) is an individual surgical provider in Sun City West, Arizona, licensed in Arizona (7530) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2019).

NPPES Registry Identity

NPI1396210621

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. AMANDA RAE WHITESIDECredential: PA-C

Location Address14520 W GRANITE VALLEY DR STE 210Sun City West, AZ 85375-5855

Mailing Address18444 N 25th Ave Ste 310Phoenix, AZ 85023-1266 · (669) 742-6738 · Fax (866) 939-2673

Phone(866) 974-2673

Fax(866) 939-2673

Sole ProprietorYes

Medical School CMSAt Still University, Arizona School Of Dentistry & Oral HlthGraduated 2019

Enumeration DateOctober 13, 2018

Last NPPES UpdateAugust 11, 20255 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1396210621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 7530

Also ListedPhysician AssistantTaxonomy 363A00000X · License 7530 (AZ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

14520 W GRANITE VALLEY DR STE 210, Sun City West, AZ 85375

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Secondary Practice Locations 2

Location 110484 W Thunderbird Blvd Ste 100Sun City, AZ 85351-6019 · Phone (866) 974-2673 · Fax (866) 939-2673

Location 218444 N 25th Ave Ste 210Phoenix, AZ 85023-1264 · Phone (866) 974-2673 · Fax (866) 939-2673

Other Identifiers 1

Medicaid583027AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. 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

Mrs. Amanda Rae Whiteside Pa-c 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 ID8426380544

PECOS Enrollment IDI20191022003907

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.

Areas of Expertise CMS Part B claims 24

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,270 services225 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

587 services363 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

347 services239 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

200 services130 patients

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.

181 services159 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

167 services135 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

124 services124 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

72 services63 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

55 services40 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

40 services40 patients

Injection of carpal tunnel 20526

An injection for carpal tunnel is a treatment to reduce inflammation and swelling in your wrist, which can alleviate pain and numbness. The doctor injects a steroid medication into your wrist area to provide relief.

31 services25 patients

Application of nonmoveable forearm to hand splint 29125

The application of a non-moveable forearm to hand splint is a procedure where a rigid support is placed on your forearm and hand. This is done to stabilize the area, promote healing, and prevent further injury. It restricts movement, providing rest to the injured part.

25 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

Cast supplies, short arm splint, adult (11 years +), fiberglass Q4022

A short arm splint, for adults and children aged 11+, is a support device made of fiberglass. It is applied to the lower part of the arm to immobilize it after an injury or surgery. It helps in healing by restricting movement and providing stability.

25 services18 patients

Application of elbow to finger cast 29075

An elbow to finger cast is applied to immobilize the arm from the elbow down to the fingers. This aids in healing fractures or severe sprains. The cast, made from plaster or fiberglass, wraps around the arm, providing support and limiting movement to promote recovery.

20 services17 patients

Cast supplies, short arm cast, adult (11 years +), fiberglass Q4010

A short arm cast, made from fiberglass, is often used for fractures or injuries to the wrist or forearm in adults and children over 11. It's lightweight, durable, and can be molded to fit your arm comfortably. This cast allows for limited movement while ensuring proper healing.

19 services16 patients

Application of hand and lower forearm cast 29085

The application of a hand and lower forearm cast involves placing a supportive structure around the hand and lower arm. This is done to stabilize and protect the area after an injury, allowing for proper healing. The cast is typically made of plaster or fiberglass.

16 services12 patients

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass Q4014

A gauntlet cast is a supportive device applied to your lower forearm and hand. Being an adult version, it's suitable for individuals aged 11 years and above. Made from fiberglass, it's lightweight yet strong, providing optimal support while your injury heals.

16 services12 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

15 services15 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

14 services11 patients

Application of nonmoveable finger splint 29130

An application of a non-moveable finger splint involves placing a rigid support on your finger to keep it stable and prevent movement. This aids in healing by reducing pain and swelling, and ensuring proper alignment during recovery. It's commonly used for fractures or sprains.

13 services12 patients

Finger splint, static Q4049

A static finger splint is a device used to immobilize your finger, keeping it in a fixed position. This aids in healing by preventing movement that could cause further injury. It's often used for conditions like fractures, dislocations, or sprains.

13 services12 patients

Removal of wrist bone 25210

Removal of a wrist bone, also known as wrist arthroplasty, is a surgical procedure performed to alleviate pain and improve function. It involves removing a damaged or diseased bone in the wrist and may involve replacing it with a prosthetic. This procedure can help restore mobility and quality of life.

11 services11 patients

Transfer of tendon to back of hand 26480

A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.

11 services11 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.09

Promoting Interoperability

100

Improvement Activities

Cost

68.54

Referred Medical Equipment & Supplies CMS DME claims 3

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

Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809

DME-Orthotic Devices · category DF000N

4 suppliers16 claims16 services$174.71 avg. paid by Medicare

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

2 suppliers33 claims37 services$58.41 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924

DME-Orthotic Devices · category DF000N

3 suppliers15 claims18 services$65.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CARLOS DANIEL VILLALPANDO PA-C

Physician Assistant