AMANDA BROOKE BOATWRIGHT
NPI 1912301581
Nurse Practitioner - Family in Greenville, SC

Q: What is Amanda Boatwright's NPI number?

The NPI number for Amanda Boatwright is 1912301581. It was assigned to this individual provider in the NPPES registry on October 10, 2014.

Q: What is Amanda Boatwright'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 Boatwright was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 10, 2014PECOS Enrolled

5 W MAIN ST, GREENVILLE, SC 29611(864) 220-7270(864) 241-9211 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2021, May 20, 2016, May 11, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Amanda Brooke Boatwright NPPES

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

AMANDA BROOKE BOATWRIGHT (NPI 1912301581) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (19123) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912301581

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA BROOKE BOATWRIGHT

Location Address5 W MAIN STGreenville, SC 29611-4215

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 220-7270

Fax(864) 241-9211

Sole ProprietorNo

Enumeration DateOctober 10, 2014

Last NPPES UpdateMay 19, 20214 updates tracked since enumeration

NPPES CertifiedMay 19, 2021

✔ NPI 1912301581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in SC · 19123

5 W MAIN ST, Greenville, SC 29611

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Other Identifiers 1

MedicaidNP3099SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.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 Brooke Boatwright is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Boatwright reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prisma Health University Medical Group

2.5 mi

Nurse Practitioner

712 GROVE RD
Greenville, SC 29605

Reassigned Medicare billing, South Carolina enrollment
3,281 clinicians in this Medicare group

NPI 1053786483 (864) 455-9349

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 29611 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

GISSELLE DALILA CASTELLANOS CASTILLO MD

Pediatrics