MS. AMANDA DIMATTIES CRNP
NPI 1720666571
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Q: What is Amanda Dimatties's NPI number?

The NPI number for Amanda Dimatties is 1720666571. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Amanda Dimatties's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Dimatties was last updated on December 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 01, 2021PECOS Enrolled

561 FAIRTHORNE AVE, PHILADELPHIA, PA 19128(215) 487-4000 Get Directions Write a Review

NPPES record last updated: December 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2022, Apr 1, 2021 (2 updates tracked since 2021).

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About Ms. Amanda Dimatties Crnp NPPES

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

MS. AMANDA DIMATTIES CRNP (NPI 1720666571) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP023583) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720666571

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. AMANDA DIMATTIESCredential: CRNP

Location Address561 FAIRTHORNE AVEPhiladelphia, PA 19128-2412

Mailing Address561 Fairthorne AvePhiladelphia, PA 19128-2412 · (215) 487-4000

Phone(215) 487-4000

Sole ProprietorYes

Enumeration DateApril 1, 2021

Last NPPES UpdateDecember 8, 20222 updates tracked since enumeration

NPPES CertifiedDecember 8, 2022

✔ NPI 1720666571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in PA · SP023583

561 FAIRTHORNE AVE, Philadelphia, PA 19128

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Amanda Dimatties Crnp 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 19128 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

EDWARD M MOORE M.D.

Psychiatry & Neurology (Psychiatry)