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AMANDA SYTSMA
NPI 1962913137
Dietitian, Registered in Fort Wayne, IN

Active since October 16, 2017
1234 E DUPONT RD STE 1, FORT WAYNE, IN 46825(260) 266-6060(260) 425-6395 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 20, 2022, Mar 17, 2018, Oct 16, 2017 (3 updates tracked since 2017).

About Amanda Sytsma NPPES

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

AMANDA SYTSMA (NPI 1962913137) is an individual dietitian, registered in Fort Wayne, Indiana, licensed in Indiana (37002790A) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1962913137
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMANDA SYTSMA
Location Address1234 E DUPONT RD STE 1Fort Wayne, IN 46825-1545
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 266-6060
Fax(260) 425-6395
Sole ProprietorNo
Enumeration DateOctober 16, 2017
Last NPPES UpdateDecember 20, 20223 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
✔ NPI 1962913137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IN · 37002790A
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1234 E DUPONT RD STE 1, Fort Wayne, IN 46825
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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 Sytsma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amanda Sytsma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Parkview Health System,inc.
1.3 mi
Gastroenterology
11104 PARKVIEW CIRCLE DR STE 310
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1437461449 (260) 266-5230

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

KARLYN HOWELL
Nurse Practitioner
1234 E DUPONT RD STE 1
FORT WAYNE, IN 46825
Allen County (260) 425-6390
AMIE DENT RDN, CD
Dietitian, Registered
1234 E DUPONT RD STE 1
FORT WAYNE, IN 46825
Allen County (260) 425-6390
BRETT BURNS
Nurse Practitioner
1234 E DUPONT RD STE 1
FORT WAYNE, IN 46825
Allen County (260) 266-6060
KARA POLEY
Nurse Practitioner
1234 E DUPONT RD STE 1
FORT WAYNE, IN 46825
Allen County (260) 266-6060
RAYA JAYNE BEERBOWER RDN
Dietitian, Registered
1234 E DUPONT RD STE 1
FORT WAYNE, IN 46825
Allen County (260) 425-6390
ALYCE DANIELLE BRANHAM LSW
Social Worker (Clinical)
1234 E DUPONT RD STE 1
FORT WAYNE, IN 46825
Allen County (260) 425-6390
HALEY MICHELLE ERB FNP
Nurse Practitioner
1234 E DUPONT RD STE 1
FORT WAYNE, IN 46825
Allen County (260) 266-6060
MRS. NICOLE LOUISE MAZZOLA-HELMKAMP MSW, LSW, LCSW
Social Worker (Clinical)
1234 E DUPONT RD STE 1
FORT WAYNE, IN 46825
Allen County (260) 425-6390

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 Sytsma's NPI number?

The NPI number for Amanda Sytsma is 1962913137. It was assigned to this individual provider in the NPPES registry on October 16, 2017.

Where is Amanda Sytsma located?

Amanda Sytsma practices at 1234 E Dupont Rd Ste 1, Fort Wayne, IN 46825. The listed phone number is (260) 266-6060.

What is Amanda Sytsma's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Amanda Sytsma enrolled in Medicare?

Yes. Amanda Sytsma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Sytsma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Sytsma reassigns Medicare benefits to Parkview Health System,inc. (Fort Wayne, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Sytsma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Sytsma accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Amanda Sytsma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Sytsma was last updated on December 20, 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.