AMANDA M FERN (MD) – Anesthesiology Physician, NPI 1043413792

AMANDA M FERN (MD) is a healthcare provider. based in Tacoma, Washington. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 01068543A (IN). The NPI Number for AMANDA M FERN (MD) is 1043413792

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA M FERN (MD)
NPI
1043413792
Phone
(425) 284-1545
Address
3302 N 19TH ST
Enumeration Date
8 June 2007
Last Update Date
9 August 2011

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3607044743
Graduation Year
2007 (19 years ago)
PAC ID
1254500416
Group Practice PAC ID
2567651771
Professional Enrollment ID
I20110804000760
Address ID
WA985028654OL3900XSWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,514 ANESTHESIOLOGY in WA

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Provider Addresses for AMANDA M FERN (MD)

  • 3302, North 19th Street, Tacoma, Pierce County, Washington, 98406, United States

    TACOMA, WA 984066007

    Phone: (425) 284-1545

    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)

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: 2011-08-04

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
I20110804000760IAnesthesiologyWATBD

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.

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

Insurance plans in this area (ZIP 98406)

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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: 2567651771View full group profile
NameSpecialtyState
Internal MedicineWA
A N E S T H E S I O L O G YWA
General SurgeryWA
A N E S T H E S I O L O G YWA
O B S T E T R I C S/ G Y N E C O L O G YGA
A N E S T H E S I O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YWA
Internal MedicineWA
O B S T E T R I C S/ G Y N E C O L O G YOH
Physician AssistantIN

Reviews

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Frequently asked questions

What federal number belongs to AMANDA M FERN (MD)?
The federal identifier for AMANDA M FERN (MD) is NPI 1043413792.
Does this profile mean AMANDA M FERN (MD) is currently active?
Yes — AMANDA M FERN (MD) appears active in the national provider directory.
Can you summarize AMANDA M FERN (MD)'s specialty in plain language?
Clinically, the directory lists AMANDA M FERN (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does AMANDA M FERN (MD) practice in Washington?
You will see Tacoma, Washington on file for AMANDA M FERN (MD) alongside any extra practice locations.
Is AMANDA M FERN (MD) a real provider?
This page reflects official NPPES data for NPI 1043413792. Always confirm identity and privileges with the practice and licensing boards.

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