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AMANDA WAREHAM MSN, PMHNP-BC
NPI 1528761509
Nurse Practitioner - Psychiatric/Mental Health in Buffalo, NY

Active since March 27, 2023PECOS Enrolled
100 NORWOOD AVE, BUFFALO, NY 14222(716) 245-4109 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Wareham Msn, Pmhnp-bc NPPES

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

AMANDA WAREHAM MSN, PMHNP-BC (NPI 1528761509) is an individual psychiatric/mental health provider in Buffalo, New York, licensed in New York (F404702) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1528761509
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA WAREHAMCredential: MSN, PMHNP-BC
Location Address100 NORWOOD AVEBuffalo, NY 14222-2151
Mailing Address100 Norwood AveBuffalo, NY 14222-2151 · (716) 245-4109
Phone(716) 245-4109
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1528761509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F404702
100 NORWOOD AVE, Buffalo, NY 14222
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 Wareham Msn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355819780
PECOS Enrollment IDI20260505001024
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 Wareham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of New York Comptrollers Office
9.9 mi
Developmental Disabilities
1200 E AND WEST RD
West Seneca, NY 14224
  • Reassigned Medicare billing, New York enrollment
  • 342 clinicians in this Medicare group
NPI 1528109188 (518) 402-4333

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

Hospital Affiliations CMS Care Compare

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14222 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.

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 Wareham's NPI number?

The NPI number for Amanda Wareham is 1528761509. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Amanda Wareham located?

Amanda Wareham practices at 100 Norwood Ave, Buffalo, NY 14222. The listed phone number is (716) 245-4109.

What is Amanda Wareham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Wareham enrolled in Medicare?

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

Which organization bills Medicare for Amanda Wareham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Wareham reassigns Medicare benefits to State Of New York Comptrollers Office (West Seneca, NY). 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 Wareham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amanda Wareham affiliated with any hospitals?

According to CMS data, Amanda Wareham is affiliated with Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Wareham was last updated on March 27, 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.