MRS. AMANDA CALLOWAY PHILLIPS NP
NPI 1932308855
Nurse Practitioner - Women's Health in Fairdale, KY

Q: What is Amanda Phillips's NPI number?

The NPI number for Amanda Phillips is 1932308855. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Q: What is Amanda Phillips's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Phillips was last updated on April 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 July 11, 2007PECOS EnrolledAccepts Medicare Assignment

1000 NEIGHBORHOOD PL, FAIRDALE, KY 40118(502) 361-2381(502) 363-1463 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 19, 2021, Jan 18, 2017 (2 updates tracked since 2017).

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About Mrs. Amanda Calloway Phillips Np NPPES

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

MRS. AMANDA CALLOWAY PHILLIPS NP (NPI 1932308855) is an individual women's health provider in Fairdale, Kentucky, licensed in Kentucky (1093115) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1932308855

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMRS. AMANDA CALLOWAY PHILLIPSCredential: NP

Location Address1000 NEIGHBORHOOD PLFairdale, KY 40118-9697

Mailing AddressPo Box 950244Louisville, KY 40295-0244 · (502) 953-4700 · Fax (502) 774-8631

Phone(502) 361-2381

Fax(502) 363-1463

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 11, 2007

Last NPPES UpdateApril 19, 20212 updates tracked since enumeration

NPPES CertifiedApril 19, 2021

✔ NPI 1932308855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

Licenses✔ Licensed in KY · 1093115✔ Licensed in IN · 71001599A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28146751A (IN)

1000 NEIGHBORHOOD PL, Fairdale, KY 40118

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Other Identifiers 1

Medicaid7100068450KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amanda Calloway Phillips Np 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 ID4587722095

PECOS Enrollment IDI20090114000648

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

Family Health Centers, Inc.

Same address

Federally Qualified Health Center (FQHC)

1000 NEIGHBORHOOD PL
Fairdale, KY 40118

Reassigned Medicare billing, Kentucky enrollment
69 clinicians in this Medicare group

NPI 1871546119 (502) 361-2381

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 40118 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 8

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

SHAMECKA SULLIVAN PMHNP

Nurse Practitioner (Psychiatric/Mental Health)