Individual provider Active NPI

Amanda Ross

  • Nurse Practitioner
  • Snow Hill, NC
National Provider Identifier
1821957440
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5023813 Issued in NC
Practice address
190 Carolina Dr
Snow Hill, NC 28580-1651
Phone
(252) 747-2204
Fax
(252) 747-2210
NPI assigned
Jan 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5023813 NC
Nurse Practitioner 363L00000X 5023813 NC Primary

Addresses

Primary practice location

190 Carolina Dr
Snow Hill, NC 28580-1651

Mailing address

190 Carolina Dr
Snow Hill, NC 28580-1651
Phone (252) 747-2204

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260504004946 NC Practitioner - Family Practice 8325516818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Family Health and Wellness PAGroup PAC ID 8729323803, 4 clinicians

Practice addresses (Care Compare)

190 Carolina Dr
Snow Hill, NC 28580-1651
Phone (252) 747-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5023813NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Family Health and Wellness PA CurrentSince Feb 23, 2026 Accepting new patients

Locations

190 Carolina Dr
Snow Hill, NC 28580
Phone (252) 747-2204

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1821957440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CAROLINA DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801651",
            "telephone_number": "252-747-2204",
            "fax_number": "252-747-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CAROLINA DR",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801651",
            "telephone_number": "252-747-2204",
            "fax_number": "252-747-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5023813",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5023813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, NC

Sources for this page

Verify at the official NPI Registry.