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NPI · 1154872653 · NPPES-sourced

Miss Amanda Leisure Cpnp-Ac/PC

ActiveNurse Practitioner, Pediatrics
NPI Number
1154872653
Type 1 · Individual
Taxonomy Code
363LP0200X
Contact
(260) 266-5400
License IN · 71006767
Last Updated
Enumerated
Primary practice addressIN · 46845-1714
11141 Parkview Plaza Dr Ste 210Fort Wayne, IN 46845-1714
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Also known as

  • Formerly known asWagner, Amanda M

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1154872653 is registered to Miss Amanda Leisure Cpnp-Ac/PC, a Nurse Practitioner, Pediatrics practising at 11141 Parkview Plaza Dr Ste 210 in Fort Wayne, Indiana. Nurse Practitioner, Pediatrics is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Miss Amanda Leisure Cpnp-Ac/PC has been enumerated in the National Provider Identifier (NPI) registry since 2016.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Miss Amanda Leisure Cpnp-Ac/PC accepts. To confirm in-network status with your specific health plan, contact Miss Amanda Leisure Cpnp-Ac/PC directly at (260) 266-5400.

Frequently asked

Yes. NPI 1154872653 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Nurse Practitioner, Pediatrics is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (260) 266-5400.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Miss Amanda Leisure Cpnp-Ac/PC is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LP0200X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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