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AMANDA DIERCKS N.P.
NPI 1679946156
Nurse Practitioner in Saint Louis, MO

Active since November 05, 2015
5347 GLENCULLEN WAY, SAINT LOUIS, MO 63128(314) 488-4289 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Amanda Diercks N.p. NPPES

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

AMANDA DIERCKS N.P. (NPI 1679946156) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2015039589) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1679946156
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA DIERCKSCredential: N.P.
Location Address5347 GLENCULLEN WAYSaint Louis, MO 63128-4229
Mailing Address5347 Glencullen WaySaint Louis, MO 63128-4229 · (314) 488-4289
Phone(314) 488-4289
Sole ProprietorNo
Enumeration DateNovember 5, 2015
✔ NPI 1679946156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2015039589
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5347 GLENCULLEN WAY, Saint Louis, MO 63128
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Other Identifiers 5

Medicare OSCAR/certification2015039589MO
Medicare NSC2015039589MO
Medicaid2015039589MO
Medicare UPIN2015039589MO
Medicare PIN2015039589MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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 Diercks's NPI number?

The NPI number for Amanda Diercks is 1679946156. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Amanda Diercks located?

Amanda Diercks practices at 5347 Glencullen Way, Saint Louis, MO 63128. The listed phone number is (314) 488-4289.

What is Amanda Diercks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Amanda Diercks accept?

Health plans from Medica list Amanda Diercks 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 Diercks was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.