AMANDA MARIE POLLARD
NPI 1962110130
Nurse Practitioner - Psychiatric/Mental Health in Cleveland, OH

Active since November 07, 2022Opted out of Medicare · through Jan 31, 2028
725 JOHNSON CT APT 218, CLEVELAND, OH 44113(304) 685-7703 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Marie Pollard NPPES

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

AMANDA MARIE POLLARD (NPI 1962110130) is an individual psychiatric/mental health provider in Cleveland, Ohio, licensed in Illinois (209.026343) and active in the NPI registry since November 2022. She has opted out of Medicare through January 31, 2028.

NPPES Registry Identity

NPI1962110130
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA MARIE POLLARD
Location Address725 JOHNSON CT APT 218Cleveland, OH 44113-1357
Mailing Address725 Johnson Ct Apt 218Cleveland, OH 44113-1357
Sole ProprietorYes
Enumeration DateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
NPI 1962110130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209.026343
725 JOHNSON CT APT 218, Cleveland, OH 44113

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 Marie Pollard 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 January 31, 2024 through January 31, 2028.

Opt-Out Effective DateJanuary 31, 2024
Opt-Out In Effect ThroughJanuary 31, 2028Opt-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 Pollard's NPI number?

The NPI number for Amanda Pollard is 1962110130. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Where is Amanda Pollard located?

Amanda Pollard practices at 725 Johnson Ct Apt 218, Cleveland, OH 44113. The listed phone number is (304) 685-7703.

What is Amanda Pollard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Pollard enrolled in Medicare?

No. Amanda Pollard has opted out of Medicare through January 31, 2028. 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 Pollard was last updated on November 7, 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.