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Amanda Wilhelm

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda Wilhelm is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1497114383
Provider Type
Individual
Full Name
Wilhelm, Amanda
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
2/19/2016
Last Updated
7/1/2024

Contact Information

Practice Location

2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-0001

(910) 907-8922

(910) 907-6069

Mailing Location

2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-0001

(910) 907-8922

(910) 907-6069

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 0024173301 Virginia
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R243140 Maryland
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN1057428 District of Columbia
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN297111 Georgia
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5019580 North Carolina

Amanda Wilhelm

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Durgan, Sekeya Edreekia

Frank, Megan

Hunt, Telina

Sisco, Mildreth

Ray, Olyvia Nicole

Riordan, Joan Katherine

Cummings, Phillip Howard

Schrimsher, Carrie A

Stover, Jerry Boyd

Lane, Mctisa Michelle