MRS. AMANDA MARIE RIST APRN-CNP
NPI 1780449215
Nurse Practitioner in Nitro, WV

Q: What is Amanda Rist's NPI number?

The NPI number for Amanda Rist is 1780449215. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Q: What is Amanda Rist's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Rist was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 14, 2024PECOS Enrolled

4111 1ST AVE STE 3, NITRO, WV 25143(304) 755-4797 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Amanda Marie Rist Aprn-cnp NPPES

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

MRS. AMANDA MARIE RIST APRN-CNP (NPI 1780449215) is an individual nurse practitioner in Nitro, West Virginia, licensed in West Virginia (108769) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780449215

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. AMANDA MARIE RISTCredential: APRN-CNP

Location Address4111 1ST AVE STE 3Nitro, WV 25143-1345

Mailing Address4111 1st Ave Ste 3Nitro, WV 25143-1345 · (304) 755-4797

Phone(304) 755-4797

Sole ProprietorNo

Enumeration DateFebruary 14, 2024

Last NPPES UpdateApril 23, 2024

NPPES CertifiedApril 23, 2024

✔ NPI 1780449215 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 WV · 108769

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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 108769 (WV)

4111 1ST AVE STE 3, Nitro, WV 25143

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Mrs. Amanda Marie Rist Aprn-cnp 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 25143 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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 9

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

JOSEPH ZACHARY WILEY MD

Family Medicine