AMANDA C. JOHN APRN-FNP
NPI 1881553253
General Practice in San Angelo, TX

Active since January 20, 2026PECOS Enrolled
115 S RANDOLPH ST STE 101, SAN ANGELO, TX 76903(323) 252-3403 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda C. John Aprn-fnp NPPES

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

AMANDA C. JOHN APRN-FNP (NPI 1881553253) is an individual general practice provider in San Angelo, Texas, licensed in Texas (1224745) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1881553253
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameAMANDA C. JOHNCredential: APRN-FNP
Location Address115 S RANDOLPH ST STE 101San Angelo, TX 76903-6425
Mailing Address415 Clover DrSan Angelo, TX 76903-1104 · (323) 252-3403
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 20, 2026
NPPES CertifiedJanuary 20, 2026
NPI 1881553253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in TX · 1224745
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
115 S RANDOLPH ST STE 101, San Angelo, TX 76903

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda C. John Aprn-fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709365265
PECOS Enrollment IDI20260205002642
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.

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
115 S RANDOLPH ST STE 101
SAN ANGELO, TX 76903

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 John's NPI number?

The NPI number for Amanda John is 1881553253. It was assigned to this individual provider in the NPPES registry on January 20, 2026.

Where is Amanda John located?

Amanda John practices at 115 S Randolph St Ste 101, San Angelo, TX 76903. The listed phone number is (323) 252-3403.

What is Amanda John's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Amanda John enrolled in Medicare?

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

Is Amanda John affiliated with any hospitals?

According to CMS data, Amanda John is affiliated with Shannon Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda John was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.