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AMANDA GRACE FENTRESS
NPI 1730040742
Physician Assistant in Melbourne, FL

Active since November 19, 2025PECOS Enrolled
3098 CORTONA DR, MELBOURNE, FL 32940(321) 544-4079 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Grace Fentress NPPES

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

AMANDA GRACE FENTRESS (NPI 1730040742) is an individual physician assistant in Melbourne, Florida, licensed in Florida (1237720) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1730040742
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA GRACE FENTRESS
Location Address3098 CORTONA DRMelbourne, FL 32940-8609
Mailing Address3098 Cortona DrMelbourne, FL 32940-8609
Phone(321) 544-4079
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1730040742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 1237720
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3098 CORTONA DR, Melbourne, FL 32940
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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)

Amanda Grace Fentress is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719441518
PECOS Enrollment IDI20260713003046
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 32940 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Fentress's NPI number?

The NPI number for Amanda Fentress is 1730040742. It was assigned to this individual provider in the NPPES registry on November 19, 2025.

Where is Amanda Fentress located?

Amanda Fentress practices at 3098 Cortona Dr, Melbourne, FL 32940. The listed phone number is (321) 544-4079.

What is Amanda Fentress's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Fentress enrolled in Medicare?

Yes. Amanda Fentress is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Fentress was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.