CMS-1500 Box 24J / 33a • NPI
1255707535
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363AM0700X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical
Box 32 Service Location & ZIP+4
105365 S HIGHWAY 102, MCLOUD, OK, 74851-3051
✓ 9-Digit EDI 837 ZIP+4 (74851-3051)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1255707535 (AMANDA GARNER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1255707535)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Allopurinol Allopurinol | 12 | <11 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 24 | 23 |
| Atorvastatin Calcium Atorvastatin Calcium | 29 | <11 |
| Azelastine Hcl Azelastine Hcl | 15 | <11 |
| Cyclobenzaprine Hcl Cyclobenzaprine Hcl | 11 | <11 |
| Ezetimibe Ezetimibe | 11 | <11 |
| Fenofibrate Fenofibrate Nanocrystallized | 12 | <11 |
| Fluoxetine Hcl Fluoxetine Hcl | 15 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1255707535 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AMANDA GARNER |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical NUCC Code: 363AM0700X (Physician Assistant, Medical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 105365 S HIGHWAY 102, MCLOUD, OK, 74851-3051 |
| Practice Telephone / Fax | Tel: (405) 964-2081 | Fax: (405) 964-2217 |
| Administrative Mailing Address | 2103 JENKS AVE, PANAMA CITY, FL, 32405-4511 |
| Enumeration & Last Sync | Enumerated: 2015-08-20 | CMS Record Updated: 2023-08-10 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in MCLOUD
🔒 Are you AMANDA GARNER? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (363AM0700X)
What Does Taxonomy Code 363AM0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AM0700X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AMANDA GARNER)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: FL | License: PAT9108872 | Primary: Secondary |
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: OK | License: 4628 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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