AMANDA ELYSE RUDNICKI CNP
NPI 1710350608
Nurse Practitioner - Gerontology in Poland, OH

Q: What is Amanda Rudnicki's NPI number?

The NPI number for Amanda Rudnicki is 1710350608. It was assigned to this individual provider in the NPPES registry on November 2, 2015. The provider is also known as Amanda Elyse Kotheimer Cnp.

Q: What is Amanda Rudnicki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Rudnicki was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since November 02, 2015PECOS Enrolled

715 E WESTERN RESERVE RD, POLAND, OH 44514(330) 726-3204(330) 729-9316 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2024, Nov 14, 2018, Dec 3, 2015 (3 updates tracked since 2015).

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About Amanda Elyse Rudnicki Cnp NPPES

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

AMANDA ELYSE RUDNICKI CNP (NPI 1710350608) is an individual gerontology provider in Poland, Ohio, licensed in Ohio (APRN.CNP.18485) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710350608

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameAMANDA ELYSE RUDNICKICredential: CNP

Location Address715 E WESTERN RESERVE RDPoland, OH 44514-3358

Mailing Address715 E Western Reserve RdPoland, OH 44514-3358 · (330) 726-3204 · Fax (330) 729-9316

Phone(330) 726-3204

Fax(330) 729-9316

Sole ProprietorNo

Enumeration DateNovember 2, 2015

Last NPPES UpdateOctober 11, 20243 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1710350608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in OH · APRN.CNP.18485

715 E WESTERN RESERVE RD, Poland, OH 44514

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Other Names 1

Former Name (1)Amanda Elyse Kotheimer Cnp

Other Identifiers 1

Medicaid0151502OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Elyse Rudnicki Cnp 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 44514 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLY RAE TEPSICK FNP-C

Nurse Practitioner (Family)