MRS. AMANDA R PHELPS PA-C
NPI 1629683230
Physician Assistant - Medical in Shreveport, LA

Q: What is Amanda Phelps's NPI number?

The NPI number for Amanda Phelps is 1629683230. It was assigned to this individual provider in the NPPES registry on September 10, 2020. The provider is also known as Ms. Amanda Renae Simmons.

Q: What is Amanda Phelps's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Phelps was last updated on September 15, 2022. 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.

Active since September 10, 2020PECOS EnrolledAccepts Medicare Assignment

3217 MABEL ST, SHREVEPORT, LA 71103(318) 631-9121(318) 631-9126 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2022, Aug 22, 2022, Aug 12, 2022 and 2 more (5 updates tracked since 2020).

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About Mrs. Amanda R Phelps Pa-c NPPES

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

MRS. AMANDA R PHELPS PA-C (NPI 1629683230) is an individual medical provider in Shreveport, Louisiana, licensed in Louisiana (324297) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629683230

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. AMANDA R PHELPSCredential: PA-C

Location Address3217 MABEL STShreveport, LA 71103-4022

Mailing Address3217 Mabel StShreveport, LA 71103-4022 · (318) 631-9121 · Fax (318) 631-9126

Phone(318) 631-9121

Fax(318) 631-9126

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 10, 2020

Last NPPES UpdateSeptember 15, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2022

✔ NPI 1629683230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in LA · 324297

3217 MABEL ST, Shreveport, LA 71103

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Other Names 1

Former Name (1)Ms. Amanda Renae Simmons

Other Identifiers 2

Medicaid2539141LA

Other324297LA · Physician Assistant Licensure

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amanda R Phelps Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951720549

PECOS Enrollment IDI20201001000281

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

129 services115 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

124 services110 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

77 services77 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190111

Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

HIRAM VAZQUEZ M.D.

Anesthesiology