AMANDA KIDDER PA-C
NPI 1780140954
Physician Assistant - Surgical in Elmhurst, IL
About Amanda Kidder Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA KIDDER PA-C (NPI 1780140954) is an individual surgical provider in Elmhurst, Illinois, licensed in Illinois (085011123) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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 Kidder Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elmhurst Memorial Hospital
Acute Care Hospitals · Elmhurst, ILMedicare 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.
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.
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 Kidder's NPI number?
The NPI number for Amanda Kidder is 1780140954. It was assigned to this individual provider in the NPPES registry on February 13, 2019.
Where is Amanda Kidder located?
Amanda Kidder practices at 1200 S York St Ste 2000, Elmhurst, IL 60126. The listed phone number is (630) 646-7000.
What is Amanda Kidder's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Amanda Kidder enrolled in Medicare?
Yes. Amanda Kidder 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.
Is Amanda Kidder affiliated with any hospitals?
According to CMS data, Amanda Kidder is affiliated with Elmhurst Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Amanda Kidder was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Amanda Kidder, PA-C · NPI 1780140954
Surgical physician in Elmhurst, Illinois. Individual provider, active in the CMS NPPES registry since February 13, 2019.
## Identity
- **NPI:** 1780140954 (Entity type: Individual)
- **Enumerated:** February 13, 2019
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 085011123 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 S YORK ST STE 2000, Elmhurst, IL 60126-5634
- **Phone:** (630) 646-7000 · **Fax:** (331) 221-2760
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780140954) · Data from the CMS NPPES public registry.