MS. AMANDA LYNN DIBENEDETTO FNP - C
NPI 1972810976
Nurse Practitioner - Family in Georgetown, TX

Q: What is Amanda Dibenedetto's NPI number?

The NPI number for Amanda Dibenedetto is 1972810976. It was assigned to this individual provider in the NPPES registry on September 12, 2010.

Q: What is Amanda Dibenedetto's specialty?

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

Active since September 12, 2010PECOS EnrolledAccepts Medicare Assignment

4513 WILLIAMS DR, GEORGETOWN, TX 78633(512) 930-3909(512) 869-5868 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2024, Sep 20, 2024 (2 updates tracked since 2024).

On this page

About Ms. Amanda Lynn Dibenedetto Fnp - C NPPES

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

MS. AMANDA LYNN DIBENEDETTO FNP - C (NPI 1972810976) is an individual family provider in Georgetown, Texas, licensed in Texas (AP119335) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cedar Park, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1972810976

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. AMANDA LYNN DIBENEDETTOCredential: FNP - C

Location Address4513 WILLIAMS DRGeorgetown, TX 78633-1302

Mailing Address4513 Williams DrGeorgetown, TX 78633-1302 · (512) 930-3909 · Fax (512) 869-5868

Phone(512) 930-3909

Fax(512) 869-5868

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 12, 2010

Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration

NPPES CertifiedDecember 2, 2024

✔ NPI 1972810976 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

Licenses✔ Licensed in TX · AP119335✔ Licensed in TX · 697750

4513 WILLIAMS DR, Georgetown, TX 78633

Open in Google Maps ↗

Secondary Practice Location 1

Location 11610 E Whitestone BlvdCedar Park, TX 78613-6905 · Phone (512) 260-3376

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Ms. Amanda Lynn Dibenedetto Fnp - 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 ID9234304742

PECOS Enrollment IDI20111212000873

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 Reassignments

Medicare enrollment records show Amanda Dibenedetto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mountain West Derm - Blackhart PLLC

Same address

Dermatology

4513 WILLIAMS DR
Georgetown, TX 78633

Reassigned Medicare billing, Texas enrollment
22 clinicians in this Medicare group

NPI 1366018848 (512) 930-3909

Epiphany Dermatology PA

65 mi

Dermatology

7106 SANGER AVENUE
Waco, TX 76712

Reassigned Medicare billing, Texas enrollment
104 clinicians in this Medicare group

NPI 1043615263 (254) 537-1265

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

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

83 services68 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

59 services16 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

46 services37 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

44 services39 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

30 services27 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78633 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 10

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

VITALOGY P.A.

Dermatology