AMANDA KELIIHOOMALU FNP
NPI 1972313880
Nurse Practitioner - Family in Brentwood, TN

Q: What is Amanda Keliihoomalu's NPI number?

The NPI number for Amanda Keliihoomalu is 1972313880. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Q: What is Amanda Keliihoomalu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 13, 2025PECOS EnrolledAccepts Medicare Assignment

9019 OVERLOOK BLVD STE C1B, BRENTWOOD, TN 37027(615) 274-9767(833) 450-4801 Get Directions Write a Review

NPPES record last updated: May 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Amanda Keliihoomalu Fnp NPPES

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

AMANDA KELIIHOOMALU FNP (NPI 1972313880) is an individual family provider in Brentwood, Tennessee, licensed in Tennessee (37641) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-clarksville, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1972313880

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA KELIIHOOMALUCredential: FNP

Location Address9019 OVERLOOK BLVD STE C1BBrentwood, TN 37027-2737

Mailing Address9019 Overlook Blvd Ste C1bBrentwood, TN 37027-2737

Phone(615) 274-9767

Fax(833) 450-4801

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 13, 2025

Last NPPES UpdateMay 24, 2025

NPPES CertifiedMay 24, 2025

✔ NPI 1972313880 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 TN · 37641

9019 OVERLOOK BLVD STE C1B, Brentwood, TN 37027

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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 Keliihoomalu Fnp 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 ID7012439086

PECOS Enrollment IDI20250319001700, I20250530001109

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440035

Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37027 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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Other Providers at the Same Location NPPES 19

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

MR. JAMES BARNES PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)