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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMBER FOUNTAIN
NPI 1760360218
Nurse Practitioner - Family in Wetumpka, AL

Active since August 23, 2025PECOS Enrolled
1825 HOLTVILLE RD, NA, WETUMPKA, AL 36092(334) 567-5131 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Amber Fountain NPPES

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

AMBER FOUNTAIN (NPI 1760360218) is an individual family provider in Wetumpka, Alabama, licensed in Alabama (1176883) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2025).

NPPES Registry Identity

NPI1760360218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMBER FOUNTAIN
Location Address1825 HOLTVILLE RD, NAWetumpka, AL 36092-8211
Mailing Address2475 Chapel Lakes Ln Apt CWetumpka, AL 36092-5814
Phone(334) 567-5131
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2025
Enumeration DateAugust 23, 2025
Last NPPES UpdateAugust 14, 2026
NPPES CertifiedAugust 14, 2026
✔ NPI 1760360218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1176883
1825 HOLTVILLE RD, Wetumpka, AL 36092
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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)

Amber Fountain is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810469202
PECOS Enrollment IDI20260617000659
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 36092 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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

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

WETUMPKA HEALTH AND REHABILITATION, LLC
Skilled Nursing Facility
1825 HOLTVILLE RD
WETUMPKA, AL 36092
Elmore County (334) 567-5131

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 Amber Fountain's NPI number?

The NPI number for Amber Fountain is 1760360218. It was assigned to this individual provider in the NPPES registry on August 23, 2025.

Where is Amber Fountain located?

Amber Fountain practices at 1825 Holtville Rd Na, Wetumpka, AL 36092. The listed phone number is (334) 567-5131.

What is Amber Fountain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amber Fountain enrolled in Medicare?

Yes. Amber Fountain is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amber Fountain was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.