AMANDA MARIA KING (PA) – Physician Assistant, NPI 1922405687

AMANDA MARIA KING (PA) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1119805 (FL). The NPI Number for AMANDA MARIA KING (PA) is 1922405687

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MARIA KING (PA)
NPI
1922405687
Phone
(877) 856-3774
Address
2675 WINKLER AVE FL 2
Enumeration Date
24 November 2014
Last Update Date
2 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9545342593
Graduation Year
2014 (12 years ago)
PAC ID
6901104827
Group Practice PAC ID
1254874753
Professional Enrollment ID
I20160411000093
Address ID
FL339503715PU265XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for AMANDA MARIA KING (PA)

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Fax: (239) 599-2612

    Type: Mailing

  • 21297 OLEAN BLVD STE A

    PORT CHARLOTTE, FL 339526704

    Phone: (855) 979-5700

    Fax: (855) 979-5701

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,360.

Total Amount is formed as General ($1,360) + Research ($0) + Ownership ($0) = $1,360.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($239).

Total Amount

$1,360

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,360

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2016-04-11

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
I20160411000093IPhysician AssistantFLTBD

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
82172Apolipoprotein level944276$0
99214Established patient office or other outpatient visit, 30-39 minutes797341$0
36415Insertion of needle into vein for collection of blood sample707315$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count623317$0
80053Blood test, comprehensive group of blood chemicals621316$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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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: 1254874753View full group profile
NameSpecialtyState
Nurse PractitionerFL
H O S P I T A L I S TFL
Nurse PractitionerFL
Nurse PractitionerFL
General Practice, Family PracticeFL
Hospitalist, Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal Medicine, HospitalistFL

Reviews

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Frequently asked questions

Does AMANDA MARIA KING (PA) have a public NPI I can cite?
Public records show AMANDA MARIA KING (PA) under NPI 1922405687.
Is AMANDA MARIA KING (PA)'s NPI status active today?
Active status means AMANDA MARIA KING (PA)'s NPI record is not deactivated in the public file.
How should patients interpret AMANDA MARIA KING (PA)'s specialty?
The extract shows Physician Assistant for AMANDA MARIA KING (PA). Clinical services aligned with this taxonomy classification.
Which community is linked to AMANDA MARIA KING (PA)?
AMANDA MARIA KING (PA) shows a connection to Fort Myers, Florida in registry-derived data.
Why is information missing for AMANDA MARIA KING (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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