NPIMap

Individual provider Active NPI

Amanda Picerno

  • Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1770029845
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07017 Issued in NC
Practice address
10 Aviemore Dr
Pinehurst, NC 28374-9700
Phone
(910) 715-8700
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07017 NC Primary

Addresses

Primary practice location

10 Aviemore Dr
Pinehurst, NC 28374-9700

Mailing address

PO Box 9788
Belfast, ME 04915-9788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170222000170 NC Practitioner - Physician Assistant 9335423292 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-9 LLCGroup PAC ID 1658526710, 57 clinicians
Pinehurst Surgical Clinic PAGroup PAC ID 4587561394, 92 clinicians

Practice addresses (Care Compare)

155 Memorial Dr
Pinehurst, NC 28374-8710

3716 Morganton Rd
Suite 1
Fayetteville, NC 28303-4963
Phone (910) 302-8026

5 1St Village Dr
Pinehurst, NC 28374-9495
Phone (910) 295-6831

809 S Long Dr
Rockingham, NC 28379-4377
Phone (910) 417-4096

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-07017NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Feb 1, 2017 Accepting new patients
Firsthealth of the Carolinas Inc CurrentSince Feb 1, 2017 Accepting new patients

Locations

3716 Morganton Rd
Ste 1
Fayetteville, NC 28303
Phone (910) 715-8700

5 First Village Dr
Pinehurst, NC 28374
Phone (910) 235-2713

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

10 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 215-5555

809 S Long Dr
Ste K
Rockingham, NC 28379
Phone (910) 417-4090

921 S Long Dr
Ste 208
Rockingham, NC 28379
Phone (910) 417-3396

522 Allen St
Troy, NC 27371
Phone (910) 571-5170

522 Allen St
Ste 201
Troy, NC 27371
Phone (910) 215-1000

Interoperability endpoints

  • Direct secure messaging: amandapicerno@psc.allscriptsdirect.net
  • Direct secure messaging: amandapicerno@fhss.allscriptsdirect.net
  • FHIR API: https://epicrp.firsthealth.org/FHIR-PRD/FHMYCHART/api/FHIR/R4

Organizations & group practices 5

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1770029845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9788",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749700",
            "telephone_number": "910-715-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICERNO",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.