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Amanda Rae Anderson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4727 Friendship Ave, Pittsburgh, PA 15224-1779

PECOS Enrollment

This provider is enrolled in PECOS as AMANDA ANDERSON.

Based on the most recent information from CMS, provider Amanda Rae Anderson 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 yesterday at 10:04 AM.

Profile Details

Provider ID
1811622715
Provider Type
Individual
Full Name
Anderson, Amanda Rae
Credential
CRNP

Gender
Female
Sole Proprietor
No
Enumeration Date
7/24/2022
Last Updated
7/11/2023

Contact Information

Practice Location

4727 Friendship Ave, Pittsburgh, PA 15224-1779

(412) 235-5855

Unlisted Fax

Mailing Location

4727 Friendship Ave, Pittsburgh, PA 15224-1779

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License SP025989 Pennsylvania

Amanda Rae Anderson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Burke, Kristin

Hutchison, Lauren

Motta, Jamie

Gray, Whitney

Schmidt, Abigail

Woloszyk, Helena

Murray, Sydney Jo

Genovese, Adrienne M

Burkey, Jennifer Lee

Lindenberger, Jessica