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AMANDA L HANNAH NURSE PRACTITIONER
NPI 1649890088
Nurse Practitioner - Pediatrics in Memphis, TN

Active since April 24, 2020PECOS Enrolled
6063 MOUNT MORIAH ROAD EXT STE 4, MEMPHIS, TN 38115(901) 683-0024(901) 683-0086 Get Directions Write a Review

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

Record update history: Apr 21, 2026, Sep 11, 2025, Apr 24, 2020 (3 updates tracked since 2020).

About Amanda L Hannah Nurse Practitioner NPPES

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

AMANDA L HANNAH NURSE PRACTITIONER (NPI 1649890088) is an individual pediatrics provider in Memphis, Tennessee, licensed in Tennessee (33968) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649890088
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameAMANDA L HANNAHCredential: NURSE PRACTITIONER
Location Address6063 MOUNT MORIAH ROAD EXT STE 4Memphis, TN 38115-2665
Mailing Address6625 Lenox Park Dr Ste 202Memphis, TN 38115-8200 · (901) 683-0024 · Fax (901) 683-0086
Phone(901) 683-0024
Fax(901) 683-0086
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 24, 2020
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1649890088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TN · 33968
6063 MOUNT MORIAH ROAD EXT STE 4, Memphis, TN 38115
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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 Health, Ambetter of Alabama and more.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 L Hannah Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264924679
PECOS Enrollment IDI20251124001253
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 Hannah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Darsalud Community Center Inc
Same address
General Practice
6063 MOUNT MORIAH ROAD EXT STE 4
Memphis, TN 38115
  • Reassigned Medicare billing, Tennessee enrollment
  • 16 clinicians in this Medicare group
NPI 1174184709 (901) 531-8800

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 38115 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

LYDIA MARIE FRANKLIN PMHNP-BC,FNP
Nurse Practitioner (Family)
6063 MOUNT MORIAH ROAD EXT STE 4
MEMPHIS, TN 38115
Shelby County (901) 531-8800
ELIZABETH AMBROS SUAREZ PA-C
Physician Assistant
6063 MOUNT MORIAH ROAD EXT STE 4
MEMPHIS, TN 38115
Shelby County (901) 683-0024
DARSALUD COMMUNITY CENTER INC
General Practice
6063 MOUNT MORIAH ROAD EXT STE 4
MEMPHIS, TN 38115
Shelby County (901) 531-8800

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 Hannah's NPI number?

The NPI number for Amanda Hannah is 1649890088. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Amanda Hannah located?

Amanda Hannah practices at 6063 Mount Moriah Road Ext Ste 4, Memphis, TN 38115. The listed phone number is (901) 683-0024.

What is Amanda Hannah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Amanda Hannah enrolled in Medicare?

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

Which organization bills Medicare for Amanda Hannah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Hannah reassigns Medicare benefits to Darsalud Community Center Inc (Memphis, TN). 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 Hannah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Hannah accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Amanda Hannah 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 Hannah was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.