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AMANDA M HATHAWAY
NPI 1760998843
Nurse Practitioner in Fort Wayne, IN

Active since December 27, 2017PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(260) 266-5700 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2022, Oct 10, 2022, Mar 25, 2021 and 2 more (5 updates tracked since 2017).

About Amanda M Hathaway NPPES

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

AMANDA M HATHAWAY (NPI 1760998843) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71007829A) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1760998843
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA M HATHAWAY
Location Address11108 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1730
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701 · (260) 266-6013
Phone(260) 266-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 27, 2017
Last NPPES UpdateDecember 5, 20225 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1760998843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71007829A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 28219839A (IN)
11108 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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 M Hathaway 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 ID5799047973
PECOS Enrollment IDI20180328001642
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
352 services341 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
40 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services29 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
23 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150146
Location401 Sawyer RdKendallville, IN 46755 · Noble County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

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.

SHANNON L DECKER
Nurse Practitioner
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
DAVID P LLOYD MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11108 PARKVIEW CIRCLE DR, SUITE 5100
FORT WAYNE, IN 46845
Allen County (260) 266-2800
HOLLACE D CHASTAIN MD
Internal Medicine (Interventional Cardiology)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
DR. MARYAM NOURELDIN PHARMD, BCPS
Pharmacist (Ambulatory Care)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-4480
VAISHALI A PATEL
Nurse Practitioner
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
WILLIAM W WILSON MD
Internal Medicine (Cardiovascular Disease)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
MICHAEL J MIRRO MD
Internal Medicine (Cardiovascular Disease)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
DR. NOAH BUDI PHARMD.
Pharmacist (Ambulatory Care)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-4480

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 Hathaway's NPI number?

The NPI number for Amanda Hathaway is 1760998843. It was assigned to this individual provider in the NPPES registry on December 27, 2017.

Where is Amanda Hathaway located?

Amanda Hathaway practices at 11108 Parkview Circle Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-5700.

What is Amanda Hathaway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amanda Hathaway enrolled in Medicare?

Yes. Amanda Hathaway 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 Hathaway accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Amanda Hathaway 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.

Is Amanda Hathaway affiliated with any hospitals?

According to CMS data, Amanda Hathaway is affiliated with Parkview Regional Medical Center, Parkview Dekalb Hospital, Parkview Huntington Hospital, Parkview Whitley Hospital and Parkview Noble Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Hathaway was last updated on December 5, 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.