Active NPI
Amanda Nicole Fletcher, MD, MSCR
- Orthopaedic Surgery Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2023-01676
- Practice address
- 2001 Vail Ave Ste 200B
Charlotte, NC 28207-1222 - Phone
- (704) 323-3668
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | D94558 | MD | |
| Orthopaedic Surgery Physician | 207X00000X | 2023-01676 | NC | Primary |
Addresses
Primary practice location
2001 Vail Ave Ste 200B
Charlotte, NC 28207-1222
Mailing address
4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-2248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230814000596 | NC | Practitioner - Orthopedic Surgery | 9537542170 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Missouri, Kansas City, School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Physical Therapy Associates LLCSelect Physical Therapy Holdings Inc
Practice addresses (Care Compare)
3367 N NC 16 Business Hwy
Denver, NC 28037-8265
Phone (419) 221-6717
710 Park Ctr Dr
Matthews, NC 28105-5081
Phone (704) 323-3200
7482 Waterside Crossing Blvd
Denver, NC 28037-3006
Phone (704) 827-0598
Hospital & facility affiliations
- Novant Health Huntersville Medical Center
- Carolinas Medical Center/Behav Health
- Duke Health Lake Norman Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (3 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
| Orthocarolina | Orthopaedic Surgery | Past | Accepting new patients |
Locations
5935 Carnegie Blvd
Ste 200
Charlotte, NC 28209
2001 Vail Ave
Ste 200
Charlotte, NC 28207
Phone (704) 323-2564
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
710 Park Center Dr
Ste 300
Matthews, NC 28105
Phone (704) 323-3200
710 Park Center Dr
Matthews, NC 28105
Phone (704) 323-3208
Networks
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- TN PPO
- TN PPO C-SNP
Interoperability endpoints
- afletcher1242968@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1003349341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092290",
"telephone_number": "704-323-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 VAIL AVE STE 200B",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071222",
"telephone_number": "704-323-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "MD, MSCR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "MD",
"license": "D94558",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2023-01676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.