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Active NPI 1154647261 Individual Practitioner Female Practitioner

Amanda Lee

Pediatrics • Caldwell, ID

Professional Overview & Biography Verified Profile Summary

Amanda Lee is a registered healthcare professional specializing in Pediatrics in Caldwell, ID. Practice services are available at 1620 S KIMBALL AVE under active NPI credentials.

Frequently performed procedures and clinical services include adm sarscov2 100mcg/0.5ml1st, adm sarscov2 100mcg/0.5ml2nd, intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1620 S Kimball Ave

Caldwell, ID 836054547

Telephone 2085052950
Associated Practice Facility / Clinic
🏢 Caldwell Urology , P.l.l.c. Facility NPI 1306804356

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Caldwell, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Caldwell, ID (228 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
29.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
0011A Adm sarscov2 100mcg/0.5ml1st
104 104 $38.34 $18.55
0012A Adm sarscov2 100mcg/0.5ml2nd
60 60 $40.10 $32.41
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose
54 54 $45.00 $40.92
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose
42 42 $39.50 $22.46

Medical Specialties & State Licenses

CMS Verified: 2022-04-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License ID 0-1639

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NM A-1749-13

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WA OP60471366

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

518 W 1st Ave, Toppenish Medical-Dental Clinic

Toppenish, WA 989481564

Phone: 5098655600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Crystal Belcourt , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1194226837

CPNPPC

NPI 1437853256

Doctor of Osteopathic Medicine (D.O.)

Rachael Smith , PNP-PC

Nurse Practitioner - Pediatrics

NPI 1508552829

PNPPC

Krystal Manning

Marriage & Family Therapist

NPI 1508575184

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location April 15, 2022

Registered at 1620 S KIMBALL AVE, CALDWELL, ID 836054547 (Tel: 2085052950)

📍
Updated Business Mailing Address April 15, 2022

Registered at 190 E BANNOCK ST, BOISE, ID 837126241

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2022

Pediatrics (License #A-1749-13 in NM)

📍
Updated Business Mailing Address March 22, 2021

Registered at 510 W 1ST AVE, TOPPENISH, WA 989481564 (Tel: 5098655600)

👤
Provider Name / Credentials Updated March 22, 2021

Recorded as AMANDA LEE

NPI Profile Active August 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2014

Registered at 518 W 1ST AVE, TOPPENISH MEDICAL-DENTAL CLINIC, TOPPENISH, WA 989481564 (Tel: 5098655600)

📍
Updated Business Mailing Address August 27, 2014

Registered at PO BOX 190, TOPPENISH, WA 989480190 (Tel: 5098652395)

👤
Provider Name / Credentials Updated August 27, 2014

Recorded as AMANDA LEE, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2014

Pediatrics (License #OP60471366 in WA)

🟢
Initial NPI Registration & Enumeration April 14, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154647261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2010
Last Update: April 15, 2022
Sole Proprietor: No

Mailing Address

190 E Bannock St

Boise, ID 837126241

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.