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AMANDA LOTT PMHNP-BC
NPI 1629847405
Nurse Practitioner - Psychiatric/Mental Health in Clarkston, WA

Active since December 21, 2023PECOS Enrolled
1119 HIGHLAND AVE STE 10, CLARKSTON, WA 99403(509) 758-1450 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Lott Pmhnp-bc NPPES

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

AMANDA LOTT PMHNP-BC (NPI 1629847405) is an individual psychiatric/mental health provider in Clarkston, Washington, licensed in Washington (AP61506204) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629847405
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA LOTTCredential: PMHNP-BC
Location Address1119 HIGHLAND AVE STE 10Clarkston, WA 99403-2836
Mailing Address1832 Grelle AveLewiston, ID 83501-6035 · (208) 553-7320
Phone(509) 758-1450
Sole ProprietorNo
Enumeration DateDecember 21, 2023
NPPES CertifiedDecember 5, 2023
✔ NPI 1629847405 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 WA · AP61506204
1119 HIGHLAND AVE STE 10, Clarkston, WA 99403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 Lott Pmhnp-bc 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 Lott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tri-State Memorial Hospital
0.1 mi
Family Medicine
1221 HIGHLAND AVE
Clarkston, WA 99403
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1598814352 (Washington)
  • 144 clinicians in this Medicare group
NPI 1932405693 (509) 758-5511

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 99403 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

STEPHANIE P WHITLOCK NP
Nurse Practitioner (Gerontology)
1119 HIGHLAND AVE STE 10
CLARKSTON, WA 99403
Asotin County (509) 758-1450

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 Lott's NPI number?

The NPI number for Amanda Lott is 1629847405. It was assigned to this individual provider in the NPPES registry on December 21, 2023.

Where is Amanda Lott located?

Amanda Lott practices at 1119 Highland Ave Ste 10, Clarkston, WA 99403. The listed phone number is (509) 758-1450.

What is Amanda Lott's specialty?

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

Is Amanda Lott enrolled in Medicare?

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

Which organization bills Medicare for Amanda Lott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Lott reassigns Medicare benefits to Tri-State Memorial Hospital (Clarkston, WA). 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 Lott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Lott accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Amanda Lott 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 Lott was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.