Individual provider Active NPI

Amanda M. Crim Pinheiro, PA

  • Physician Assistant
  • Las Cruces, NM
National Provider Identifier
1477792869
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2009001274 Issued in MO
Practice address
3201 S Main St Ste C
Las Cruces, NM 88005-3797
Phone
(575) 522-8378
NPI assigned
Feb 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2023-0313 NM
Physician Assistant 363A00000X 2009001274 MO Primary
Community Health Worker 172V00000X G-2081 NM

Addresses

Primary practice location

3201 S Main St Ste C
Las Cruces, NM 88005-3797

Mailing address

4112 Meadow Sage PL
Las Cruces, NM 88011-4382
Phone (417) 671-2066

Other identifiers 4

IdentifierTypeStateIssuer
602630075OtherMOMEDICARE
1477792869MedicaidMO
P00689756OtherRAILROAD MEDICARE
431560263OtherTRICARE WEST

Other names 1

  • Amanda M. Furtado, Hodge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community Inc CurrentSince Dec 7, 2020 Accepting new patients
Mercy Hospital Aurora CurrentSince Dec 15, 2014 Accepting new patients
Skaggs Community Hospital Association CurrentSince Dec 9, 2017 Accepting new patients
Mercy Hospital Lebanon CurrentSince Jun 1, 2017 Accepting new patients
Skaggs Community Hospital Association CurrentSince Dec 9, 2017 Accepting new patients
High Desert Women's Center Community Health Worker Current Accepting new patients
Advocates for a Healthy Community, Inc Past Accepting new patients
Lincoln County Hospital Past Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

3201 S Main St
Ste C
Las Cruces, NM 88005

Interoperability endpoints

  • Direct secure messaging: amanda.crim.p1@direct.jordanvalley.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1477792869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 MEADOW SAGE PL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114382",
            "telephone_number": "417-671-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S MAIN ST STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053797",
            "telephone_number": "575-522-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIM PINHEIRO",
        "first_name": "AMANDA",
        "middle_name": "M.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2023-0313",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2009001274",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NM",
            "license": "G-2081",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "602630075",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477792869",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00689756",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "431560263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FURTADO, HODGE",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.