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MRS. AMANDA D. POULIN PA-C
NPI 1679592315
Physician Assistant in Greenville, NC

Active since July 19, 2006PECOS Enrolled
98.33/100
CMS Quality Rating
275 BETHESDA DR, GREENVILLE, NC 27834(252) 752-5077 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Amanda D. Poulin Pa-c NPPES

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

MRS. AMANDA D. POULIN PA-C (NPI 1679592315) is an individual physician assistant in Greenville, North Carolina, licensed in North Carolina (0010-03544) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679592315
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. AMANDA D. POULINCredential: PA-C
Location Address275 BETHESDA DRGreenville, NC 27834-7217
Mailing Address275 Bethesda DrGreenville, NC 27834-7217 · (252) 752-5077
Phone(252) 752-5077
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
✔ NPI 1679592315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 0010-03544✔ Licensed in MD · C0004518✔ Licensed in VA · 0110002055
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
275 BETHESDA DR, Greenville, NC 27834
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Other Names 1

Former Name (1)Ms. Amanda D. Jordan Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Amanda D. Poulin Pa-c 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 27834 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

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.

TIFFANY COX STRICKLAND ANP
Nurse Practitioner
275 BETHESDA DR
GREENVILLE, NC 27834
Pitt County (252) 752-5077
DR. JEFFREY B ASBURY MD
Urology
275 BETHESDA DR
GREENVILLE, NC 27834
Pitt County (252) 752-5077
DARBY NICOLE WHITE
Physician Assistant
275 BETHESDA DR
GREENVILLE, NC 27834
Pitt County (252) 752-5077
REBECCA MARIE SPINARIS DO
Urology
275 BETHESDA DR
GREENVILLE, NC 27834
Pitt County (252) 752-5077
STEVEN PRESTON BENSON PA-C
Physician Assistant (Medical)
275 BETHESDA DR
GREENVILLE, NC 27834
Pitt County (252) 752-5077
KAITLYN STELLATO-ALLEN RN
Registered Nurse (Urology)
275 BETHESDA DR
GREENVILLE, NC 27834
Pitt County (252) 752-5077
CRISTEN RENCSOK SWITZER FNP
Nurse Practitioner (Family)
275 BETHESDA DR
GREENVILLE, NC 27834
Pitt County (252) 752-5077
DR. NATHANIEL JOHN WILLIAMS DO
Urology
275 BETHESDA DR
GREENVILLE, NC 27834
Pitt County (252) 752-5077

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 Poulin's NPI number?

The NPI number for Amanda Poulin is 1679592315. It was assigned to this individual provider in the NPPES registry on July 19, 2006. The provider is also known as Ms. Amanda D. Jordan Pa-C.

Where is Amanda Poulin located?

Amanda Poulin practices at 275 Bethesda Dr, Greenville, NC 27834. The listed phone number is (252) 752-5077.

What is Amanda Poulin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Poulin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Poulin was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.