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AMANDA JENE WIRTH APRN
NPI 1619370053
Nurse Practitioner - Women's Health in Lakeland, FL

Active since September 30, 2014PECOS Enrolled
215 IMPERIAL BLVD STE B2, LAKELAND, FL 33803(813) 684-2229(813) 413-8507 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2021, Sep 24, 2020, Apr 5, 2019 and 2 more (5 updates tracked since 2017).

About Amanda Jene Wirth Aprn NPPES

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

AMANDA JENE WIRTH APRN (NPI 1619370053) is an individual women's health provider in Lakeland, Florida, licensed in Florida (APRN9482070) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619370053
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameAMANDA JENE WIRTHCredential: APRN
Location Address215 IMPERIAL BLVD STE B2Lakeland, FL 33803-4689
Mailing Address215 Imperial Blvd Ste B2Lakeland, FL 33803-4689 · (813) 684-2229 · Fax (813) 413-8507
Phone(813) 684-2229
Fax(813) 413-8507
Sole ProprietorNo
Enumeration DateSeptember 30, 2014
Last NPPES UpdateJanuary 20, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
✔ NPI 1619370053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in FL · APRN9482070✔ Licensed in OH · 16289
215 IMPERIAL BLVD STE B2, Lakeland, FL 33803
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11410 W Broadway StOviedo, FL 32765-6456 · Phone (407) 366-9195 · Fax (407) 898-9944
Location 21515 Park Center Dr Ste 2AOrlando, FL 32835-5794 · Phone (407) 296-8044 · Fax (407) 898-9944
Location 3785 Primera BlvdLake Mary, FL 32746 · Phone (407) 834-8111

Other Identifiers 2

Medicaid024693700FL
Medicaid0111806OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Jene Wirth 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 33803 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 3

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

EXODUS WOMEN'S CENTER, INC.
Obstetrics & Gynecology
215 IMPERIAL BLVD STE B2
LAKELAND, FL 33803
Polk County (813) 684-2229
PAMELA S HODGES M.D.
Obstetrics & Gynecology
215 IMPERIAL BLVD STE B2
LAKELAND, FL 33803
Polk County (813) 684-2229
LAKELAND'S CHILDREN THERAPY CENTER, LLC
Physical Therapist (Pediatrics)
215 IMPERIAL BLVD STE B2
LAKELAND, FL 33803
Polk County (786) 602-0904

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 Wirth's NPI number?

The NPI number for Amanda Wirth is 1619370053. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Amanda Wirth located?

Amanda Wirth practices at 215 Imperial Blvd Ste B2, Lakeland, FL 33803. The listed phone number is (813) 684-2229.

What is Amanda Wirth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Amanda Wirth enrolled in Medicare?

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

What insurance does Amanda Wirth accept?

Health plans from CareSource list Amanda Wirth 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 Wirth was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.