Individual provider Active NPI

Amanda Marie Heidbreder, CRNA

  • Certified Registered Nurse Anesthetist
  • Greenville, SC
National Provider Identifier
1962550533
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
25936 Issued in SC
Practice address
7 Independence PT Ste 300
Greenville, SC 29615-4569
Phone
(864) 522-3700
Fax
(864) 522-3705
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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 RN-45519 HI
Certified Registered Nurse Anesthetist 367500000X 1-074534 AL
Certified Registered Nurse Anesthetist 367500000X 25936 SC Primary

Addresses

Primary practice location

7 Independence PT Ste 300
Greenville, SC 29615-4569

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1616

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, AL, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120619000281 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254436785 Reassigns benefits to 5 organizations
I20180129001258 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254436785 Reassigns benefits to 4 organizations
I20250626004073 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254436785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams Baptist LLCGroup PAC ID 6901099688, 80 clinicians

Practice addresses (Care Compare)

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-8478

Hospital & facility affiliations

  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-45519HIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Current Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 15, 2020 Accepting new patients
Anesthesiologists Associated PC CurrentSince Jan 11, 2021 Accepting new patients
USA Health Anesthesia Billing Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jul 22, 2024 Accepting new patients
Ams of Gulf Breeze LLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2025 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2017 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Jul 22, 2024 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Aug 19, 2018 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Jan 11, 2021 Accepting new patients
University of South Alabama Nurse Anesthetist, Certified Registered CurrentSince May 1, 2019 Accepting new patients
Steward Medical Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2020 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Aug 19, 2018 Accepting new patients
University of South Alabama Nurse Anesthetist, Certified Registered CurrentSince May 1, 2019 Accepting new patients
Physynergy, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jan 10, 2023 Accepting new patients
Ams Baptist LLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2025 Accepting new patients
Upstate Medical Anesthesiology Group, Inc. Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients
Anesthesiacare, P.C. Past Accepting new patients

Locations

1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

75 Francis St
Boston, MA 02115

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

70 East St
Methuen, MA 01844
Phone (978) 682-1906

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1962550533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 INDEPENDENCE PT STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154569",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1493 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021391047",
            "country_code": "US",
            "telephone_number": "617-665-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDBREDER",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "HI",
            "license": "RN-45519",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-074534",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "25936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.