1. Home
  2. Directory
  3. Pennsylvania
  4. Bala Cynwyd
  5. Nurse Practitioner
  6. NPI Profile

AMANDA WIESE CRNP
NPI 1427410299
Nurse Practitioner - Adult Health in Bala Cynwyd, PA

Active since March 22, 2016PECOS Enrolled
86.75/100
CMS Quality Rating
150 MONUMENT RD STE 300, BALA CYNWYD, PA 19004(610) 747-3400(610) 617-2481 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2023, Mar 22, 2016 (2 updates tracked since 2016).

About Amanda Wiese Crnp NPPES

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

AMANDA WIESE CRNP (NPI 1427410299) is an individual adult health provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (SP026921) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427410299
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAMANDA WIESECredential: CRNP
Location Address150 MONUMENT RD STE 300Bala Cynwyd, PA 19004-1725
Mailing Address150 Monument Rd Ste 300Bala Cynwyd, PA 19004-1725 · (610) 747-3400 · Fax (610) 617-2481
Phone(610) 747-3400
Fax(610) 617-2481
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1427410299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP026921
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License SP026921 (PA)
150 MONUMENT RD STE 300, Bala Cynwyd, PA 19004
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Wiese Crnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Wiese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Care Associates Of The University Of Pennsylvania Health Syst
Same address
Hospitalist
150 MONUMENT RD FL 4
Bala Cynwyd, PA 19004
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
  • 983 clinicians in this Medicare group
NPI 1790737468 (610) 239-2871

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
33 services26 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
30 services26 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
26 services26 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19004 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

86.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.91
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA G HOUCK NP
Nurse Practitioner (Gerontology)
150 MONUMENT RD STE 300
BALA CYNWYD, PA 19004
Montgomery County (610) 747-3400
MARIANN WARD NP
Nurse Practitioner
150 MONUMENT RD STE 300
BALA CYNWYD, PA 19004
Montgomery County (610) 747-3400

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 Wiese's NPI number?

The NPI number for Amanda Wiese is 1427410299. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Amanda Wiese located?

Amanda Wiese practices at 150 Monument Rd Ste 300, Bala Cynwyd, PA 19004. The listed phone number is (610) 747-3400.

What is Amanda Wiese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amanda Wiese enrolled in Medicare?

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

Which organization bills Medicare for Amanda Wiese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Wiese reassigns Medicare benefits to Clinical Care Associates Of The University Of Pennsylvania Health Syst (Bala Cynwyd, PA). 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 Wiese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Wiese was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.