AMANDA G SMITH
NPI 1861112757
Nurse Practitioner - Psychiatric/Mental Health in Queensbury, NY

Active since August 31, 2022PECOS EnrolledAccepts Medicare Assignment
25 WILLOWBROOK RD, QUEENSBURY, NY 12804(518) 926-7100 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2022, Aug 31, 2022 (2 updates tracked since 2022).

About Amanda G Smith NPPES

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

AMANDA G SMITH (NPI 1861112757) is an individual psychiatric/mental health provider in Queensbury, New York, licensed in New York (403565) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1861112757
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA G SMITH
Location Address25 WILLOWBROOK RDQueensbury, NY 12804-5882
Mailing Address25 Willowbrook RdQueensbury, NY 12804-5882 · (518) 926-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 31, 2022
Last NPPES UpdateNovember 10, 20222 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
NPI 1861112757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 403565
Also ListedRegistered NurseTaxonomy 163W00000X · License 668433 (NY)
25 WILLOWBROOK RD, Queensbury, NY 12804

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 G Smith 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 ID749653004
PECOS Enrollment IDI20230307002000
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 12804 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Social Worker (Clinical)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Licensed Practical Nurse
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Counselor (Mental Health)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Social Worker
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Clinic/Center (Recovery Care)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Social Worker (Clinical)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Licensed Practical Nurse
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Social Worker
25 WILLOWBROOK RD
QUEENSBURY, NY 12804

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 Smith's NPI number?

The NPI number for Amanda Smith is 1861112757. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is Amanda Smith located?

Amanda Smith practices at 25 Willowbrook Rd, Queensbury, NY 12804. The listed phone number is (518) 926-7100.

What is Amanda Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Smith enrolled in Medicare?

Yes. Amanda Smith 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.

When was this NPI record last updated?

The NPPES record for Amanda Smith was last updated on November 10, 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.