AMANDA POOLE AGACNP-BC
NPI 1407727472
Nurse Practitioner - Gerontology in Munster, IN

Q: 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.

Q: What is Amanda Poole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: 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 9 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 September 15, 2025PECOS EnrolledAccepts Medicare Assignment

901 MACARTHUR BLVD, NEURO ICU, MUNSTER, IN 46321(219) 703-1991(219) 836-6796 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

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

NPI1407727472

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameAMANDA POOLECredential: AGACNP-BC

Location Address901 MACARTHUR BLVD, NEURO ICUMunster, IN 46321-2901

Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854

Phone(219) 703-1991

Fax(219) 836-6796

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 15, 2025

Last NPPES UpdateOctober 21, 2025

NPPES CertifiedOctober 21, 2025

✔ NPI 1407727472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IN · 71017249A

901 MACARTHUR BLVD, Munster, IN 46321

Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Clark

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 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.

PECOS PAC ID1951898311

PECOS Enrollment IDI20251017002328

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 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, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150015

Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County

Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150034

Location1500 S Lake Park AveHobart, IN 46342 · Lake County

Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150125

Location901 Macarthur BlvdMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Physician 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.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

FARRUKH SALIM CHAUDHRY MD

Psychiatry & Neurology (Neurocritical Care)

901 MACARTHUR BLVD
MUNSTER, IN 46321

Lake County (219) 836-1600

DR. ALEKSANDAR GORESKI M.D.

Anesthesiology

901 MACARTHUR BLVD
MUNSTER, IN 46321

Lake County (219) 703-1443

DR. AVRAM ESTES M.D.

Emergency Medicine

901 MACARTHUR BLVD
MUNSTER, IN 46321

Lake County (219) 836-1600

MUNSTER MEDICAL RESEARCH FOUNDATION INC

General Acute Care Hospital

901 MACARTHUR BLVD
MUNSTER, IN 46321

Lake County (219) 836-1600

RICHARD HENRY LADAGA CRNA

Nurse Anesthetist, Certified Registered

901 MACARTHUR BLVD, ATTN ANESTHESIA
MUNSTER, IN 46321

Lake County (219) 836-7040

SUNNY PATEL MD

Anesthesiology

901 MACARTHUR BLVD
MUNSTER, IN 46321

Lake County (219) 703-1443

ESTEBAN E GOLOMBIEVSKI MD

Psychiatry & Neurology (Vascular Neurology)

901 MACARTHUR BLVD
MUNSTER, IN 46321

Lake County (219) 703-1991

ZACHARY ROSENFELDT PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

901 MACARTHUR BLVD, ATTN: PHARMACY DEPARTMENT
MUNSTER, IN 46321

Lake County (219) 703-4048

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.

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 9 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.