Individual provider Active NPI

Amanda Mae Rizk, CRNA

  • Certified Registered Nurse Anesthetist
  • Hot Springs, VA
National Provider Identifier
1487985438
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9301633 Issued in FL
Practice address
106 Park Dr
Bath Community Hospital
Hot Springs, VA 24445-2921
Phone
(540) 839-7000
NPI assigned
Jan 14, 2010
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9301633 FL Primary
Certified Registered Nurse Anesthetist 367500000X 87330 WV
Certified Registered Nurse Anesthetist 367500000X 0024170863 VA

Addresses

Primary practice location

106 Park Dr
Bath Community Hospital
Hot Springs, VA 24445-2921

Mailing address

PO Box Z
Bath Community Hospital
Hot Springs, VA 24445-0750
Phone (540) 839-7000

Other identifiers 2

IdentifierTypeStateIssuer
G006NOtherFLBCBS
002121300MedicaidFL

Other names 1

  • Amanda Mae Kracht Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160818001284 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446380356 Reassigns benefits to 4 organizations
I20200221002409 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446380356 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Rush Medical College of Rush University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Cares - CommunityGroup PAC ID 9537526330, 187 clinicians

Practice addresses (Care Compare)

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0024170863VAMDCertified Registered Nurse Anesthetist
87330WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Virginia, PC CurrentSince Nov 5, 2018 Accepting new patients
Stonesprings Anesthesia Associates, LTD CurrentSince Jul 10, 2019 Accepting new patients
Bath County Community Hospital Current Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Nov 5, 2018 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Cares - Community CurrentSince Jun 12, 2023 Accepting new patients
Reston Anesthesia Associates, PC CurrentSince Jan 8, 2020 Accepting new patients
Inova Health Care Services Current Accepting new patients

Locations

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1487985438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX Z",
            "address_2": "BATH COMMUNITY HOSPITAL",
            "city": "HOT SPRINGS",
            "state": "VA",
            "postal_code": "244450750",
            "telephone_number": "540-839-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PARK DR",
            "address_2": "BATH COMMUNITY HOSPITAL",
            "city": "HOT SPRINGS",
            "state": "VA",
            "postal_code": "244452921",
            "telephone_number": "540-839-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZK",
        "first_name": "AMANDA",
        "middle_name": "MAE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9301633",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "87330",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024170863",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G006N",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002121300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KRACHT",
            "middle_name": "MAE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hot Springs, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.