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AMANDA EILEEN HATHORN ACNPC-AG
NPI 1578283651
Nurse Practitioner - Acute Care in Bossier City, LA

Active since August 30, 2022PECOS Enrolled
2400 HOSPITAL DR STE 250, BOSSIER CITY, LA 71111(318) 746-4460(318) 746-3389 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2025, Aug 30, 2022 (2 updates tracked since 2022).

About Amanda Eileen Hathorn Acnpc-ag NPPES

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

AMANDA EILEEN HATHORN ACNPC-AG (NPI 1578283651) is an individual acute care provider in Bossier City, Louisiana, licensed in Louisiana (226879) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578283651
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAMANDA EILEEN HATHORNCredential: ACNPC-AG
Location Address2400 HOSPITAL DR STE 250Bossier City, LA 71111-2390
Mailing Address2400 Hospital Dr Ste 250Bossier City, LA 71111-2390 · (318) 746-4460 · Fax (318) 746-3389
Phone(318) 746-4460
Fax(318) 746-3389
Sole ProprietorNo
Enumeration DateAugust 30, 2022
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1578283651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in LA · 226879
2400 HOSPITAL DR STE 250, Bossier City, LA 71111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia 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 (PECOS)

Amanda Eileen Hathorn Acnpc-ag 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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
176 services168 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71111 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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

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

WK BOSSIER SURGICAL ASSOCIATES
Surgery
2400 HOSPITAL DR STE 250
BOSSIER CITY, LA 71111
Bossier Parish (318) 746-4460

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 Hathorn's NPI number?

The NPI number for Amanda Hathorn is 1578283651. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Amanda Hathorn located?

Amanda Hathorn practices at 2400 Hospital Dr Ste 250, Bossier City, LA 71111. The listed phone number is (318) 746-4460.

What is Amanda Hathorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Amanda Hathorn enrolled in Medicare?

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

What insurance does Amanda Hathorn accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Amanda Hathorn 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 Hathorn was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.