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AMANDA D FETZNER
NPI 1437660479
Counselor - Professional in Show Low, AZ

Active since October 17, 2017PECOS Enrolled
2650 E SHOW LOW LAKE RD STE 1, SHOW LOW, AZ 85901(928) 537-4300(928) 537-4320 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2025, Dec 2, 2024, Oct 17, 2017 (3 updates tracked since 2017).

About Amanda D Fetzner NPPES

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

AMANDA D FETZNER (NPI 1437660479) is an individual professional provider in Show Low, Arizona, licensed in Arizona (LPC-23383) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1437660479
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA D FETZNER
Location Address2650 E SHOW LOW LAKE RD STE 1Show Low, AZ 85901-7955
Mailing AddressPo Box 3630Flagstaff, AZ 86003-3630 · (928) 522-9879
Phone(928) 537-4300
Fax(928) 537-4320
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 17, 2017
Last NPPES UpdateJune 15, 20263 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1437660479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-23383
2650 E SHOW LOW LAKE RD STE 1, Show Low, AZ 85901
Open in Google Maps ↗

Other Names 1

Professional Name (2)Andi Fetzner Andi Fetzner Lpc

Secondary Practice Location 1

Location 14425 N 24th St, 150Phoenix, AZ 85016 · Phone (480) 267-7256

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda D Fetzner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496243990
PECOS Enrollment IDI20251024001877
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 Fetzner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

El Rio Santa Cruz Neighborhood Health Center, Inc
144 mi
Federally Qualified Health Center (FQHC)
3655 E GRANT RD
Tucson, AZ 85716
  • Reassigned Medicare billing, Arizona enrollment
  • 464 clinicians in this Medicare group
NPI 1477204485 (520) 670-3090

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

Other Providers at the Same Location NPPES 7

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

ALISON IVERSON NP
Nurse Practitioner (Family)
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Navajo County (928) 537-4300
ELIZABETH MILLER FNP
Nurse Practitioner (Family)
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Navajo County (928) 537-4300
GINA SILVEIRA NP
Nurse Practitioner
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Navajo County (928) 537-4300
DR. MARIA-LUZ SOTOMAYOR NP
Nurse Practitioner
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Navajo County (928) 537-4300
WILLIAM SMITH LMFT
Marriage & Family Therapist
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Navajo County (928) 537-4300
TY ELLSWORTH DMD
Dentist
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Navajo County (928) 537-4300
JILL SHANNON NAVARRO RDH
Dental Hygienist
2650 E SHOW LOW LAKE RD STE 1
SHOW LOW, AZ 85901
Navajo County (928) 537-4300

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 Fetzner's NPI number?

The NPI number for Amanda Fetzner is 1437660479. It was assigned to this individual provider in the NPPES registry on October 17, 2017. The provider is also known as Andi Fetzner Andi Fetzner Lpc.

Where is Amanda Fetzner located?

Amanda Fetzner practices at 2650 E Show Low Lake Rd Ste 1, Show Low, AZ 85901. The listed phone number is (928) 537-4300.

What is Amanda Fetzner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amanda Fetzner enrolled in Medicare?

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

Which organization bills Medicare for Amanda Fetzner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Fetzner reassigns Medicare benefits to El Rio Santa Cruz Neighborhood Health Center, Inc (Tucson, AZ). 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 Fetzner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Fetzner accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Amanda Fetzner 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.

When was this NPI record last updated?

The NPPES record for Amanda Fetzner was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.