DR. AMANDA E PRUETT (D.O.) – Family Medicine Physician, NPI 1730493701

DR. AMANDA E PRUETT (D.O.) is a healthcare provider. based in West palm beach, Florida. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS14343 (FL). The NPI Number for DR. AMANDA E PRUETT (D.O.) is 1730493701

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA E PRUETT (D.O.)
NPI
1730493701
Phone
(561) 420-8555
Address
2007 PALM BEACH LAKES BLVD
Enumeration Date
2 August 2010
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
8668777123
Graduation Year
2010 (16 years ago)
PAC ID
0345522546
Group Practice PAC ID
3971820598
Professional Enrollment ID
I20170124001274
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for DR. AMANDA E PRUETT (D.O.)

  • 2007 PALM BEACH LAKES BLVD

    WEST PALM BEACH, FL 334096501

    Phone: (561) 420-8555

    Fax: (561) 420-8550

    Type: Mailing

  • 125 W INDIANTOWN RD STE 103

    JUPITER, FL 334583539

    Phone: (561) 849-4468

    Fax: (561) 972-4885

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-01-24

PECOS data refreshed: 2026-05-27

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
I20170124001274IFamily PracticeFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes135128$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected6564$0
99214Established patient office or other outpatient visit, 30-39 minutes4846$0
99203New patient office or other outpatient visit, 30-44 minutes3333$0
81003Automated urinalysis test3029$0
View full utilization report →

Insurance plans in this area (ZIP 33409)

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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: 3971820598View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
General SurgeryOK
Nurse PractitionerFL
Nurse PractitionerFL
Internal Medicine, Peripheral Vascular DiseaseFL
Family PracticeFL
General PracticeFL
-FL
General PracticeMN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. AMANDA E PRUETT (D.O.)'s NPI?
Yes. DR. AMANDA E PRUETT (D.O.) is listed with NPI 1730493701 in the public NPI dataset.
Is DR. AMANDA E PRUETT (D.O.) listed as active for patients and plans?
The listing shows DR. AMANDA E PRUETT (D.O.) as active in the NPI system.
What is DR. AMANDA E PRUETT (D.O.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. AMANDA E PRUETT (D.O.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. AMANDA E PRUETT (D.O.) on a map?
Expect West Palm Beach, Florida as a primary anchor for DR. AMANDA E PRUETT (D.O.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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