AMANDA RENEE PICKLES PA-C
NPI 1679755169
Physician Assistant - Medical in Philadelphia, PA

Active since November 27, 2007PECOS EnrolledAccepts Medicare Assignment
3400 SPRUCE ST, 3 DULLES BUILDING, PHILADELPHIA, PA 19104(215) 349-8222 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Renee Pickles Pa-c NPPES

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

AMANDA RENEE PICKLES PA-C (NPI 1679755169) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA052629) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1679755169
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMANDA RENEE PICKLESCredential: PA-C
Location Address3400 SPRUCE ST, 3 DULLES BUILDINGPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce St, 3 Dulles BuildingPhiladelphia, PA 19104-4206
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 27, 2007
Last NPPES UpdateMarch 18, 2011
NPI 1679755169 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 PA · MA052629
3400 SPRUCE ST, Philadelphia, PA 19104

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

Amanda Renee Pickles 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 ID8628159605
PECOS Enrollment IDI20250214001193
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.

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York 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.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

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 Pickles's NPI number?

The NPI number for Amanda Pickles is 1679755169. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is Amanda Pickles located?

Amanda Pickles practices at 3400 Spruce St 3 Dulles Building, Philadelphia, PA 19104. The listed phone number is (215) 349-8222.

What is Amanda Pickles's specialty?

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

Is Amanda Pickles enrolled in Medicare?

Yes. Amanda Pickles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amanda Pickles affiliated with any hospitals?

According to CMS data, Amanda Pickles is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Amanda Pickles was last updated on March 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.