MS. AMANDA WHITTEMORE - NPI 1629951355 - Nurse Practitioner in Depew, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

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About Ms. Amanda Whittemore NPPES

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

MS. AMANDA WHITTEMORE (NPI 1629951355) is an individual adult health provider in Depew, New York, licensed in New York (312205) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629951355

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. AMANDA WHITTEMORE

Location Address3332 WALDEN AVE STE 110Depew, NY 14043-2400

Mailing Address3842 N Buffalo StOrchard Park, NY 14127-1840 · (443) 624-2323

Phone(716) 668-7051

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1629951355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 312205

3332 WALDEN AVE STE 110, Depew, NY 14043

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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

Ms. Amanda Whittemore 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 ID3173020575

PECOS Enrollment IDI20251010001453

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 14043 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

MS. VERONICA LEE NP, DNP(C)

Nurse Practitioner (Adult Health)