AMANDA KRISTEN MARSHALL DMD
NPI 1861380511
Dentist - General Practice in Flagstaff, AZ

Active since June 24, 2025PECOS Enrolled
2920 N 4TH ST, FLAGSTAFF, AZ 86004(928) 522-9400 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2026, Nov 6, 2025, Jun 24, 2025 (3 updates tracked since 2025).

About Amanda Kristen Marshall Dmd NPPES

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

AMANDA KRISTEN MARSHALL DMD (NPI 1861380511) is an individual general practice provider in Flagstaff, Arizona, licensed in Tennessee (12985) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2025).

NPPES Registry Identity

NPI1861380511
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameAMANDA KRISTEN MARSHALLCredential: DMD
Location Address2920 N 4TH STFlagstaff, AZ 86004-1816
Mailing Address2920 N 4th StFlagstaff, AZ 86004-1816
Sole ProprietorNo
Medical School CMSAt Still University, Arizona School Of Dentistry & Oral HlthGraduated 2025
Enumeration DateJune 24, 2025
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1861380511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · 12985
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License D012536 (AZ)
2920 N 4TH ST, Flagstaff, AZ 86004

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Kristen Marshall Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567953615
PECOS Enrollment IDI20251117001763
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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Marshall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
6350 W ANDREW JOHNSON HWY
Talbott, TN 37877
  • Reassigned Medicare billing, Tennessee enrollment
  • 257 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86004 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

Counselor (Professional)
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Dental Hygienist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Pharmacist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Pharmacist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Obstetrics & Gynecology
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Registered Nurse
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Dentist
2920 N 4TH ST
FLAGSTAFF, AZ 86004
Obstetrics & Gynecology
2920 N 4TH ST
FLAGSTAFF, AZ 86004

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 Marshall's NPI number?

The NPI number for Amanda Marshall is 1861380511. It was assigned to this individual provider in the NPPES registry on June 24, 2025.

Where is Amanda Marshall located?

Amanda Marshall practices at 2920 N 4th St, Flagstaff, AZ 86004. The listed phone number is (928) 522-9400.

What is Amanda Marshall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Amanda Marshall enrolled in Medicare?

Yes. Amanda Marshall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Marshall reassigns Medicare benefits to Cherokee Health Systems (Talbott, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Marshall accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 16 other insurers list Amanda Marshall 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.

When was this NPI record last updated?

The NPPES record for Amanda Marshall was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.