AMANDA LINA DIAS ANDRADE
NPI 1538822911
Nurse Practitioner - Pediatrics in Charlotte, NC

Q: What is Amanda Lina Andrade's NPI number?

The NPI number for Amanda Lina Andrade is 1538822911. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Q: What is Amanda Lina Andrade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since October 21, 2021PECOS Enrolled

2400 SOUTH BLVD STE 200, CHARLOTTE, NC 28203(704) 774-3024 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2024, Feb 7, 2023, Oct 21, 2021 (3 updates tracked since 2021).

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About Amanda Lina Dias Andrade NPPES

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

AMANDA LINA DIAS ANDRADE (NPI 1538822911) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (5017634) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1538822911

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameAMANDA LINA DIAS ANDRADE

Location Address2400 SOUTH BLVD STE 200Charlotte, NC 28203-5773

Mailing Address831 Pointe Andrews DrConcord, NC 28025-8543

Phone(704) 774-3024

Sole ProprietorNo

Enumeration DateOctober 21, 2021

Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1538822911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LP0200X

License✔ Licensed in NC · 5017634

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 329936 (NC)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5017634 (NC)

2400 SOUTH BLVD STE 200, Charlotte, NC 28203

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Secondary Practice Location 1

Location 1831 Pointe Andrews DrConcord, NC 28025-8543 · Phone (774) 615-0167

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 Lina Dias Andrade 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 Lina Andrade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group, LLC

Same address

Family Medicine

2400 SOUTH BLVD STE 103
Charlotte, NC 28203

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1912447079 (704) 316-3017

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 7

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

JENNIFER LINGG MARTIN APP

Nurse Practitioner (Pediatrics, Critical Care)