Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA DODGE APRN
NPI 1497561153
Nurse Practitioner in Sun City Center, FL

Q: What is Amanda Dodge's NPI number?

The NPI number for Amanda Dodge is 1497561153. It was assigned to this individual provider in the NPPES registry on December 7, 2024.

Q: What is Amanda Dodge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Dodge was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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 December 07, 2024PECOS Enrolled

717 IMAR DR, SUN CITY CENTER, FL 33573(813) 634-3500 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 18, 2026, Aug 20, 2026, Dec 7, 2024 (3 updates tracked since 2024).

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About Amanda Dodge Aprn NPPES

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

AMANDA DODGE APRN (NPI 1497561153) is an individual nurse practitioner in Sun City Center, Florida, licensed in Florida (11036213) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497561153

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMANDA DODGECredential: APRN

Location Address717 IMAR DRSun City Center, FL 33573-5368

Mailing Address9960 Nw 116th Way Ste 13Medley, FL 33178-1175 · (786) 924-1311 · Fax (786) 924-1313

Phone(813) 634-3500

Sole ProprietorNo

Enumeration DateDecember 7, 2024

Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1497561153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · 11036213

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

717 IMAR DR, Sun City Center, FL 33573

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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 Dodge Aprn 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 33573 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 5

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

DR. DEEPALI YOGENDRABHAI JAIN M.D.

Psychiatry & Neurology (Neurology)