Active NPI
Amanda Mandell, PA
- Physician Assistant
- Altamont, NY
National Provider Identifier
1992698609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 034160
- Practice address
- 2508 Western Ave
Altamont, NY 12009-9485 - Phone
- (518) 690-0177
- NPI assigned
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 034160 | NY | Primary |
Addresses
Primary practice location
2508 Western Ave
Altamont, NY 12009-9485
Mailing address
2508 Western Ave
Altamont, NY 12009-9485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250822003201 | NY | Practitioner - Physician Assistant | 8123528205 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Western Ave
Altamont, NY 12009-9485
Phone (518) 690-0177
2508 Western Ave
Altamont, NY 12009-9485
Phone (518) 690-0177
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034160 | NY | MD | Speech-Language Pathologist |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
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": "1748822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1992698609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 WESTERN AVE",
"city": "ALTAMONT",
"state": "NY",
"postal_code": "120099485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 WESTERN AVE",
"city": "ALTAMONT",
"state": "NY",
"postal_code": "120099485",
"telephone_number": "518-690-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDELL",
"first_name": "AMANDA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-02",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "034160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.