AMANDA GRANGE APRN - NPI 1891445698 - Nurse Practitioner in Las Vegas, NV

Q: What is Amanda Grange's NPI number?

The NPI number for Amanda Grange is 1891445698. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Amanda Grange's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Grange was last updated on February 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amanda Grange Aprn NPPES

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

AMANDA GRANGE APRN (NPI 1891445698) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (851794) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891445698

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA GRANGECredential: APRN

Location Address2600 S DECATUR BLVDLas Vegas, NV 89102-8519

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203

Phone(702) 877-5199

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 25, 2022

Last NPPES UpdateFebruary 24, 2025

NPPES CertifiedFebruary 24, 2025

✔ NPI 1891445698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NV · 851794

Also ListedNurse PractitionerTaxonomy 363L00000X · License 851794 (NV)

2600 S DECATUR BLVD, Las Vegas, NV 89102

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Other Names 1

Former Name (1)Amanda Hudson

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 Grange Aprn 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 ID9638557499

PECOS Enrollment IDI20220607001115

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 89102 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 5

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

ROZANNE GENYVE EVINDA BENTT MD

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