MRS. AMANDA JEAN LAMANNA (PA-C) – Physician Assistant, NPI 1205117751

MRS. AMANDA JEAN LAMANNA (PA-C) is a healthcare provider. based in Chandler, Arizona. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12040 (MN). The NPI Number for MRS. AMANDA JEAN LAMANNA (PA-C) is 1205117751

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA JEAN LAMANNA (PA-C)
NPI
1205117751
Phone
(480) 821-8888
Address
1100 S DOBSON RD STE 223
Enumeration Date
29 August 2011
Last Update Date
25 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4808218888
Graduation Year
2011 (15 years ago)
PAC ID
5597924597
Group Practice PAC ID
8022093384
Professional Enrollment ID
I20120312000201
Address ID
AZ852866160CH1100XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

4,048 PHYSICIAN ASSISTANT in MN

Provider Addresses for MRS. AMANDA JEAN LAMANNA (PA-C)

  • 1100 S DOBSON RD STE 223

    CHANDLER, AZ 852866160

    Phone: (480) 821-8888

    Fax: (480) 821-0888

    Type: Mailing

  • 8170 33RD AVE

    MS: 21110Q

    BLOOMINGTON, MN 554254516

    Phone: (651) 439-1234

    Fax: (651) 275-3325

    Type: Mailing

  • 1500 CURVE CREST BLVD W

    STILLWATER, MN 55082

    Phone: (651) 439-1234

    Fax: (651) 275-3325

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 148 Open Payments records for all available years, with a total value of $3,084.

Total Amount is formed as General ($3,084) + Research ($0) + Ownership ($0) = $3,084.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($430).

Total Amount

$3,084

General + Research + Ownership

Payments

148

Total payment records

General Amount

$3,084

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120312000201IPhysician AssistantAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths571149$0
99213Established patient office or other outpatient visit, 20-29 minutes263240$0
17000Destruction of precancer skin growth, 1 growth248222$0
11102Biopsy of related skin growth, first growth142132$0
17110Destruction of skin growth, 1-14 growths130122$0
View full utilization report →

Insurance plans in this area (ZIP 85286)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022093384View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds)AZ
Physician AssistantAZ
Physician AssistantAZ
Nurse PractitionerAZ
Micrographic Dermatologic Surgery (Mds), DermatologyUT
Physician AssistantAZ
D E R M A T O L O G YAZ
D E R M A T O L O G YAZ
Micrographic Dermatologic Surgery (Mds), DermatologyAZ
D E R M A T O L O G YAZ

Reviews

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Frequently asked questions

What number should I use to identify MRS. AMANDA JEAN LAMANNA (PA-C) for billing?
Administrative and clinical systems typically use NPI 1205117751 for MRS. AMANDA JEAN LAMANNA (PA-C).
Should I treat MRS. AMANDA JEAN LAMANNA (PA-C) as an active provider?
Patients and plans typically see MRS. AMANDA JEAN LAMANNA (PA-C) as active in the national extract.
What type of care does MRS. AMANDA JEAN LAMANNA (PA-C) provide?
MRS. AMANDA JEAN LAMANNA (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. AMANDA JEAN LAMANNA (PA-C)?
MRS. AMANDA JEAN LAMANNA (PA-C) is associated with Chandler, Arizona in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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