Amanda Holman, FNP-C, MSN, RN - Medicare Nurse Practitioner in Vienna, WV

Amanda Holman, FNP-C, MSN, RN is a medicare enrolled "Nurse Practitioner - Family" in Vienna, West Virginia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Camden-clark Physician Corporation and her current practice location is 800 Grand Central Mall, Suite 4, Vienna, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 485-3300.

Amanda Holman is licensed to practice in West Virginia (license number 62564) 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 1982080057.

Contact Information

Amanda Holman, FNP-C, MSN, RN
800 Grand Central Mall, Suite 4,
Vienna, WV 26105-4100
(304) 485-3300
(304) 485-6489

Map and Direction




Provider's Profile

Full NameAmanda Holman
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location800 Grand Central Mall, Vienna, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Holman graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1982080057
  • Provider Enumeration Date: 07/30/2015
  • Last Update Date: 11/03/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8921316555
  • Enrollment ID: I20151001001503

Medical Identifiers

Medical identifiers for Amanda Holman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982080057NPI-NPPES
0142450MedicaidOH
3810029780MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 303540 (Ohio)Secondary
163W00000XRegistered Nurse 62564 (West Virginia)Secondary
363LF0000XNurse Practitioner - Family 62564 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Camden Clark Medical CenterParkersburg, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Camden-clark Physician Corporation5294885661182

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Holman allows following entities to bill medicare on her behalf.
Entity NameWest Virginia University Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207
Entity NameCamden-clark Physician Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710125430
PECOS PAC ID: 5294885661
Enrollment ID: O20090604000570

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. Amanda Holman 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 AddressPractice Location Address
Amanda Holman, FNP-C, MSN, RN
800 Grand Central Mall, Suite 4,
Vienna, WV 26105-4100

Ph: (304) 485-3300
Amanda Holman, FNP-C, MSN, RN
800 Grand Central Mall, Suite 4,
Vienna, WV 26105-4100

Ph: (304) 485-3300

Reviews and Comments


Nurse Practitioner Nurses in Vienna, WV

Carrie Lett, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 522 Grand Central Ave, Vienna, WV 26105
Phone: 304-295-3331    Fax: 304-295-4924
Gina Marie Prunty,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 800 Grand Central Mall, Vienna, WV 26105
Phone: 304-485-3300    
Pamela J Parker, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105
Phone: 304-485-4439    Fax: 304-485-6489
Mrs. Christie Watkins Priem, APRN CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 800 Grand Central Mall Ste 11, Vienna, WV 26105
Phone: 304-916-1270    Fax: 304-916-1705
Jodi L. Law, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Grand Central Ave Ste 5, Vienna, WV 26105
Phone: 304-422-5600    Fax: 304-422-5993
Tammy L Crookshanks, CFNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105
Phone: 304-485-3300    Fax: 304-485-3317
Lilia Ann Underwood, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 800 Grand Central Mall, Suite 4, Vienna, WV 26105
Phone: 304-485-4439    Fax: 304-485-6489

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.