AMANDA SOUDOM APRN
NPI 1467223685
Nurse Practitioner - Family in Brandenburg, KY

Q: What is Amanda Soudom's NPI number?

The NPI number for Amanda Soudom is 1467223685. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Q: What is Amanda Soudom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Soudom was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 16, 2024PECOS EnrolledAccepts Medicare Assignment

534 HILLCREST DR, BRANDENBURG, KY 40108(270) 422-5000(270) 422-5052 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, Mar 23, 2026 (2 updates tracked since 2026).

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About Amanda Soudom Aprn NPPES

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

AMANDA SOUDOM APRN (NPI 1467223685) is an individual family provider in Brandenburg, Kentucky, licensed in Kentucky (4015068) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1467223685

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA SOUDOMCredential: APRN

Location Address534 HILLCREST DRBrandenburg, KY 40108-1296

Mailing Address534 Hillcrest DrBrandenburg, KY 40108-1296 · (270) 422-5000 · Fax (270) 422-5052

Phone(270) 422-5000

Fax(270) 422-5052

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 16, 2024

Last NPPES UpdateApril 29, 20262 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1467223685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in KY · 4015068

534 HILLCREST DR, Brandenburg, KY 40108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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 Soudom Aprn 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 ID2860831930

PECOS Enrollment IDI20240423000089

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.

Areas of Expertise CMS Part B claims

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.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number180012

Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40108 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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Other Providers at the Same Location NPPES 10

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

ALICIA R SIMMONS APRN

Nurse Practitioner (Psychiatric/Mental Health)