AMANDA POOLE AGACNP-BC
NPI 1407727472
Nurse Practitioner - Gerontology in Munster, IN
About Amanda Poole Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA POOLE AGACNP-BC (NPI 1407727472) is an individual gerontology provider in Munster, Indiana, licensed in Indiana (71017249A) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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 Poole Agacnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Amanda Poole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St John, IN 46373
- Reassigned Medicare billing, Indiana enrollment
- 607 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Franciscan Health Michigan City
Acute Care Hospitals · Michigan City, INSt Mary Medical Center Inc
Acute Care Hospitals · Hobart, INCommunity Hospital
Acute Care Hospitals · Munster, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MUNSTER, IN 46321
MUNSTER, IN 46321
MUNSTER, IN 46321
MUNSTER, IN 46321
MUNSTER, IN 46321
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 Poole's NPI number?
The NPI number for Amanda Poole is 1407727472. It was assigned to this individual provider in the NPPES registry on September 15, 2025. The provider is also known as Amanda Clark.
Where is Amanda Poole located?
Amanda Poole practices at 901 Macarthur Blvd Neuro Icu, Munster, IN 46321. The listed phone number is (219) 703-1991.
What is Amanda Poole's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Amanda Poole enrolled in Medicare?
Yes. Amanda Poole 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 organization bills Medicare for Amanda Poole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Poole reassigns Medicare benefits to Community Care Network Inc (St John, IN). The 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 Poole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Poole accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Amanda Poole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Amanda Poole affiliated with any hospitals?
According to CMS data, Amanda Poole is affiliated with Franciscan Health Michigan City, St Mary Medical Center Inc and Community Hospital.
When was this NPI record last updated?
The NPPES record for Amanda Poole was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Amanda Poole, AGACNP-BC · NPI 1407727472
Gerontology physician in Munster, Indiana. Individual provider, active in the CMS NPPES registry since September 15, 2025.
## Identity
- **NPI:** 1407727472 (Entity type: Individual)
- **Enumerated:** September 15, 2025
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 71017249A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 MACARTHUR BLVD, NEURO ICU, Munster, IN 46321-2901
- **Phone:** (219) 703-1991 · **Fax:** (219) 836-6796
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Care Network Inc (NPI 1457610487, St John, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407727472) · Data from the CMS NPPES public registry.