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AMANDA GRACE
NPI 1811797475
Nurse Practitioner - Family in New Hyde Park, NY

Active since March 13, 2025PECOS EnrolledAccepts Medicare Assignment
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042(516) 734-8500 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Grace NPPES

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

AMANDA GRACE (NPI 1811797475) is an individual family provider in New Hyde Park, New York, licensed in New York (355175) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811797475
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA GRACE
Location Address450 LAKEVILLE RDNew Hyde Park, NY 11042-1118
Mailing Address450 Lakeville RdNew Hyde Park, NY 11042-1118
Phone(516) 734-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1811797475 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 NY · 355175
450 LAKEVILLE RD, New Hyde Park, NY 11042
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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 and accepts Medicare assignment

Amanda Grace 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 ID3779008628
PECOS Enrollment IDI20250423001775
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.

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

JENNIFER HERNANDEZ PA-C
Physician Assistant
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8876
NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
Internal Medicine (Hematology & Oncology)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8900
PETER MAGRI JR. NP
Nurse Practitioner (Family)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-7443
SARA S KIM PHARM D, BCOP
Pharmacist
450 LAKEVILLE RD
LAKE SUCCESS, NY 11042
Nassau County (516) 734-3560
EMILY R VESELY
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8963
MRS. TAMMI HASSELL BLOT FNP
Nurse Practitioner (Family)
450 LAKEVILLE RD, PRE SURGICAL TESTING
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8006
SHANESE SHARMA NP
Nurse Practitioner (Adult Health)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 941-9454
EVA MONICA MCLOUGHLIN
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (917) 225-8175

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 Grace's NPI number?

The NPI number for Amanda Grace is 1811797475. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Where is Amanda Grace located?

Amanda Grace practices at 450 Lakeville Rd, New Hyde Park, NY 11042. The listed phone number is (516) 734-8500.

What is Amanda Grace's specialty?

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

Is Amanda Grace enrolled in Medicare?

Yes. Amanda Grace 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 Grace affiliated with any hospitals?

According to CMS data, Amanda Grace is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Grace was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.