AMANDA DIETZ (FNP-C) – Family Nurse Practitioner, NPI 1114380896

AMANDA DIETZ (FNP-C) is a healthcare provider. based in Kansas city, Missouri. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. 77165 (KS). The NPI Number for AMANDA DIETZ (FNP-C) is 1114380896

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA DIETZ (FNP-C)
NPI
1114380896
Phone
(816) 701-5200
Address
2401 GILLHAM RD
Enumeration Date
31 March 2016
Last Update Date
31 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162515765
Graduation Year
2015 (11 years ago)
PAC ID
4486082757
Group Practice PAC ID
8224348529
Professional Enrollment ID
I20200319002184
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

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Provider Addresses for AMANDA DIETZ (FNP-C)

  • Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States

    PROVIDER ENROLLMENT

    KANSAS CITY, MO 641084619

    Phone: (816) 701-5200

    Fax: (816) 302-9939

    Type: Mailing

  • Children's Mercy Broadway Clinic, 3101, Broadway Boulevard, Union Hill, Kansas City, Jackson County, Missouri, 64111, United States

    KANSAS CITY, MO 641112659

    Phone: (816) 960-3050

    Fax: (816) 960-3038

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64108)

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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: 8224348529View full group profile

Reviews

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Frequently asked questions

What NPI should I save for AMANDA DIETZ (FNP-C)?
Save NPI 1114380896 if you need a stable reference for AMANDA DIETZ (FNP-C).
Is AMANDA DIETZ (FNP-C)'s NPI currently valid?
The extract we use shows AMANDA DIETZ (FNP-C) as active.
What field does AMANDA DIETZ (FNP-C) work in?
You can think of AMANDA DIETZ (FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for AMANDA DIETZ (FNP-C)?
The page summarizes Kansas City, Missouri for AMANDA DIETZ (FNP-C); expand the address list for detail.
Is AMANDA DIETZ (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1114380896. Always confirm identity and privileges with the practice and licensing boards.

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