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AMANDA L CARR NP
NPI 1710435821
Nurse Practitioner - Gerontology in Portland, OR

Active since September 18, 2016PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
1130 NW 22ND AVENUE, STE 640, PORTLAND, OR 97210(503) 229-7976(503) 274-4867 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Feb 18, 2021, Jan 15, 2021 and 3 more (6 updates tracked since 2016).

About Amanda L Carr Np NPPES

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

AMANDA L CARR NP (NPI 1710435821) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (202004793NP-PP) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2016).

NPPES Registry Identity

NPI1710435821
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameAMANDA L CARRCredential: NP
Location Address1130 NW 22ND AVENUE, STE 640Portland, OR 97210
Mailing AddressPo Box 3068Portland, OR 97208-3068 · (503) 229-7976 · Fax (503) 274-4867
Phone(503) 229-7976
Fax(503) 274-4867
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2016
Enumeration DateSeptember 18, 2016
Last NPPES UpdateSeptember 25, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1710435821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in OR · 202004793NP-PP
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP61660854 (WA), 202004793NP-PP (OR)
1130 NW 22ND AVENUE, STE 640, Portland, OR 97210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

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 L Carr Np 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 ID5597042549
PECOS Enrollment IDI20201104001312
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 97210 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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.

HEM A DEODHAR MD
Internal Medicine (Nephrology)
1130 NW 22ND AVENUE, STE 640
PORTLAND, OR 97210
Multnomah County (503) 229-7976
CLAYTON M SMILEY MD
Internal Medicine (Nephrology)
1130 NW 22ND AVENUE, STE 640
PORTLAND, OR 97210
Multnomah County (503) 229-7976
JAMES LEE GENDREAU MD
Internal Medicine
1130 NW 22ND AVENUE, STE 640
PORTLAND, OR 97210
Multnomah County (503) 229-7976

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 Carr's NPI number?

The NPI number for Amanda Carr is 1710435821. It was assigned to this individual provider in the NPPES registry on September 18, 2016.

Where is Amanda Carr located?

Amanda Carr practices at 1130 NW 22nd Avenue, Ste 640, Portland, OR 97210. The listed phone number is (503) 229-7976.

What is Amanda Carr's specialty?

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

Is Amanda Carr enrolled in Medicare?

Yes. Amanda Carr 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.

What insurance does Amanda Carr accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Amanda Carr 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 Carr was last updated on September 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.