Mrs Amanda Shawn Whitaker, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Cotter, Arkansas. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
1629 Harding Blvd, Cotter, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 435-1629.
Mrs Amanda Shawn Whitaker is licensed to practice in Arkansas (license number A005997) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295235331.
Provider's Profile
| Full Name | Mrs Amanda Shawn Whitaker |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 1629 Harding Blvd, Cotter, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Amanda Shawn Whitaker graduated from nursing school in 2017
NPI Data:
- NPI Number: 1295235331
- Provider Enumeration Date: 02/15/2018
- Last Update Date: 07/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 4981940400
- Enrollment ID: I20190103003010
Medical Identifiers
Medical identifiers for Mrs Amanda Shawn Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295235331 | NPI | - | NPPES |
| 5EA99 | Other | AR | BLUE CROSS BLUE SHIELD OF ARKANSAS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP2300X | Nurse Practitioner - Primary Care | A005997 (Arkansas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 902479 (Mississippi) | Secondary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
|---|
| Baxter Health | Mountain home, AR | Hospital |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Shawn Whitaker is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Amanda Shawn Whitaker, FNP-C
1629 Harding Blvd,
Cotter, AR 72626-9770
Ph: (870) 435-1629 | Mrs Amanda Shawn Whitaker, FNP-C
1629 Harding Blvd,
Cotter, AR 72626-9770
Ph: (870) 435-1629 |
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