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AMANDA KILBURN DO
NPI 1902420458
Family Medicine in Indiana, PA

Active since June 01, 2020Opted out of Medicare · through May 28, 2027
2340 WARREN RD STE 106, INDIANA, PA 15701(724) 436-7047 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2025, Jun 1, 2020 (2 updates tracked since 2020).

About Amanda Kilburn Do NPPES

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

AMANDA KILBURN DO (NPI 1902420458) is an individual family medicine provider in Indiana, Pennsylvania, licensed in Pennsylvania (OS021775) and active in the NPI registry since June 2020. She has opted out of Medicare through May 28, 2027.

NPPES Registry Identity

NPI1902420458
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMANDA KILBURNCredential: DO
Location Address2340 WARREN RD STE 106Indiana, PA 15701-2413
Mailing Address2340 Warren Rd Ste 106Indiana, PA 15701-2413 · (724) 436-7047
Phone(724) 436-7047
Sole ProprietorYes
Enumeration DateJune 1, 2020
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1902420458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS021775✔ Licensed in PA · OT020278
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OT020278 (OH)
2340 WARREN RD STE 106, Indiana, PA 15701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amanda Kilburn Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 28, 2025 through May 28, 2027.

Opt-Out Effective DateMay 28, 2025
Opt-Out In Effect ThroughMay 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Kilburn's NPI number?

The NPI number for Amanda Kilburn is 1902420458. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Amanda Kilburn located?

Amanda Kilburn practices at 2340 Warren Rd Ste 106, Indiana, PA 15701. The listed phone number is (724) 436-7047.

What is Amanda Kilburn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amanda Kilburn enrolled in Medicare?

No. Amanda Kilburn has opted out of Medicare through May 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Amanda Kilburn was last updated on April 10, 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.