AMANDA WADDELL CARPENTER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043636541

AMANDA WADDELL CARPENTER (CRNA) is a healthcare provider. based in Louisville, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1139069 (KY). The NPI Number for AMANDA WADDELL CARPENTER (CRNA) is 1043636541

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA WADDELL CARPENTER (CRNA)
NPI
1043636541
Phone
(502) 625-5584
Address
320 WHITTINGTON PKWY
Enumeration Date
10 March 2014
Last Update Date
22 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5026292880
Graduation Year
2001 (25 years ago)
PAC ID
4284866740
Group Practice PAC ID
9830268341
Professional Enrollment ID
I20140415001798
Address ID
KY402074714LO4001XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,371 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

Provider Addresses for AMANDA WADDELL CARPENTER (CRNA)

  • 320 WHITTINGTON PKWY

    SUITE 301

    LOUISVILLE, KY 402224928

    Phone: (502) 625-5584

    Fax: (502) 426-2264

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $379.

Total Amount is formed as General ($379) + Research ($0) + Ownership ($0) = $379.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($166).

Total Amount

$379

General + Research + Ownership

Payments

8

Total payment records

General Amount

$379

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

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: 2014-04-15

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
I20140415001798ICertified Registered Nurse Anesthetist (Crna)KYTBD

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
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand3127$0
00811Anesthesia for other procedure on large bowel using an endoscope1717$0
01830Anesthesia for other procedure on forearm, wrist, or hand bones1313$0
View full utilization report →

Insurance plans in this area (ZIP 40222)

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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: 9830268341View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
-GA
Certified Registered Nurse Anesthetist (Crna)MS
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)OR

Reviews

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Frequently asked questions

Does AMANDA WADDELL CARPENTER (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMANDA WADDELL CARPENTER (CRNA) uses 1043636541.
Can I rely on AMANDA WADDELL CARPENTER (CRNA) being an active provider?
As of the registry snapshot, AMANDA WADDELL CARPENTER (CRNA) is marked active.
What is AMANDA WADDELL CARPENTER (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for AMANDA WADDELL CARPENTER (CRNA) here. Clinical services aligned with this taxonomy classification.
What address line appears for AMANDA WADDELL CARPENTER (CRNA)?
AMANDA WADDELL CARPENTER (CRNA)'s geographic hint is Louisville, Kentucky in our summary view.
Is the information about AMANDA WADDELL CARPENTER (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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