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AMANDA J KOENNECKE NP
NPI 1417402132
Nurse Practitioner - Neonatal in Albany, NY

Active since August 23, 2016PECOS Enrolled
43 NEW SCOTLAND AVENUE, ALBANY, NY 12208(518) 262-7900 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda J Koennecke Np NPPES

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

AMANDA J KOENNECKE NP (NPI 1417402132) is an individual neonatal provider in Albany, New York, licensed in New York (350403) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417402132
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameAMANDA J KOENNECKECredential: NP
Location Address43 NEW SCOTLAND AVENUEAlbany, NY 12208
Mailing Address43 New Scotland AvenueAlbany, NY 12208
Phone(518) 262-7900
Sole ProprietorNo
Enumeration DateAugust 23, 2016
✔ NPI 1417402132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in NY · 350403
43 NEW SCOTLAND AVENUE, Albany, NY 12208
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda J Koennecke Np 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 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

MIRA MOFID SHENOUDA
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVENUE, DEPT. OF NEUROLOGY, MAIL CODE: 70
ALBANY, NY 12208
Albany County (518) 262-6488
DR. ANDREW SCHWARTZ MD
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVENUE, DEPARTMENT OF OPHTHALMOLOGY, MAIL CODE: 77
ALBANY, NY 12208
Albany County (518) 262-7277
HYE HYUN BAHNG
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVENUE, DEPT. OF SURGERY
ALBANY, NY 12208
Albany County (518) 262-5374
JACQUELYN HELEN DANEK MS CCC-SLP
Speech-Language Pathologist
43 NEW SCOTLAND AVENUE, ALBANY MEDICAL CENTER HOSPITAL MC-128
ALBANY, NY 12208
Albany County (518) 262-4526
MARGARET MARIE MAZZA M.S., CCC-SLP
Speech-Language Pathologist
43 NEW SCOTLAND AVENUE, ALBANY MEDICAL CENTER HOSPITAL, COMM DISORDERS CENTER
ALBANY, NY 12208
Albany County (518) 262-4526
OLUWASEUN FADAIRO
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVENUE, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
ALBANY, NY 12208
Albany County (518) 264-5026
SAMUEL T DIAZ DO
Emergency Medicine
43 NEW SCOTLAND AVENUE, DEPT. OF EMERGENCY MEDICINE
ALBANY, NY 12208
Albany County (518) 262-6455
DR. MICHAEL FRANCIS CICCARELLI JR. D.O.
Emergency Medicine
43 NEW SCOTLAND AVENUE, ALBANY MEDICAL CENTER
ALBANY, NY 12208
Albany County (518) 262-4050

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 Koennecke's NPI number?

The NPI number for Amanda Koennecke is 1417402132. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Where is Amanda Koennecke located?

Amanda Koennecke practices at 43 New Scotland Avenue, Albany, NY 12208. The listed phone number is (518) 262-7900.

What is Amanda Koennecke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Amanda Koennecke enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Koennecke was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.