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Active NPI 1265116610 Individual Practitioner Female Practitioner

Amanda Leigh Perry , AG-ACNP

Nurse Practitioner • Saint Marys, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amanda Perry, AG-ACNP is a certified Nurse Practitioner practicing in Saint Marys, OH. With approximately 3 years of clinical experience since completing medical education in 2023, Amanda Perry delivers high-quality medical care to the local community at 200 SAINT CLAIR AVE STE 101.

Amanda Perry is affiliated with Jtdm Family Practice Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Saint Clair Ave Ste 101

Saint Marys, OH 458852400

Telephone 4193949522
Fax 4193949523

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Marys, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -2.3 yrs vs City Avg
City Avg: 5.3 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Saint Marys, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Perry (3 Years) 3 Yrs
Saint Marys Specialty Average (5.3 Years) 5.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
49 47 $250.00 $145.21

Medical Specialties & State Licenses

CMS Verified: 2025-02-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH APRN.CNP.0034318

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Jtdm Family Practice Llc

200 Saint Clair Ave, Saint Marys, OH 458852400

Phone: 4193949522

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Natasha Alexander , DO

Psychiatry & Neurology - Neurology

NPI 1366744914

Doctor of Osteopathic Medicine (D.O.)

Katherine Zwiebel , CNP

Nurse Practitioner

NPI 1689102881

Certified Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location February 13, 2025

Registered at 200 SAINT CLAIR AVE STE 101, SAINT MARYS, OH 458852400 (Tel: 4193949522)

NPI Profile Active July 07, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2023

Registered at 1140 S KNOXVILLE AVE STE C, SAINT MARYS, OH 458852609 (Tel: 4193949595)

📍
Updated Business Mailing Address July 07, 2023

Registered at 1140 S KNOXVILLE AVE STE D, SAINT MARYS, OH 458852609 (Tel: 4193001129)

👤
Provider Name / Credentials Updated July 07, 2023

Recorded as AMANDA PERRY, AG-ACNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2023

Nurse Practitioner (License #APRN.CNP.0034318 in OH)

🟢
Initial NPI Registration & Enumeration June 14, 2023

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: 1265116610
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2023
Last Update: February 13, 2025
Sole Proprietor: No

Mailing Address

1140 S Knoxville Ave Ste D

Saint Marys, OH 458852609

Phone: 4193001129

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.