AMANDA NICOLE PURSIFULL PA-C
NPI 1922727601
Physician Assistant - Medical in Middlesboro, KY

Active since August 25, 2022PECOS EnrolledAccepts Medicare Assignment
705 N 12TH ST, MIDDLESBORO, KY 40965(606) 248-0064 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Nicole Pursifull Pa-c NPPES

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

AMANDA NICOLE PURSIFULL PA-C (NPI 1922727601) is an individual medical provider in Middlesboro, Kentucky and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2022).

NPPES Registry Identity

NPI1922727601
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMANDA NICOLE PURSIFULLCredential: PA-C
Location Address705 N 12TH STMiddlesboro, KY 40965-1987
Mailing AddressPo Box 352Arjay, KY 40902-0352
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2022
Enumeration DateAugust 25, 2022
NPPES CertifiedAugust 25, 2022
NPI 1922727601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
705 N 12TH ST, Middlesboro, KY 40965

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 Nicole Pursifull Pa-c 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 ID1355871443
PECOS Enrollment IDI20250204003070
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.

Other Providers at the Same Location NPPES 4

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

Prosthetic/Orthotic Supplier
705 N 12TH ST, STE 100
MIDDLESBORO, KY 40965
Dentist (Oral and Maxillofacial Surgery)
705 N 12TH ST
MIDDLESBORO, KY 40965
Clinic/Center
705 N 12TH ST, SUITE 100
MIDDLESBORO, KY 40965
Prosthetic/Orthotic Supplier
705 N 12TH ST, SUITE 250
MIDDLESBORO, KY 40965

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 Pursifull's NPI number?

The NPI number for Amanda Pursifull is 1922727601. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Where is Amanda Pursifull located?

Amanda Pursifull practices at 705 N 12th St, Middlesboro, KY 40965. The listed phone number is (606) 248-0064.

What is Amanda Pursifull's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amanda Pursifull enrolled in Medicare?

Yes. Amanda Pursifull is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Pursifull was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.