Amantha Theodore
NPI 1003421066ActiveIndividual· Nurse Practitioner, Family· Mount Vernon, NY
Nurse Practitioner, Family with Advanced Care Hospitalists Pl, practicing in Mount Vernon, New York. 306 Medicare patients in 2024, $66,570 paid; nearly all of their 828 Part D prescriptions were generic (94%). Lists Lakeland Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1003421066 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 15, 2020 |
| Last updated in NPPES | Sep 15, 2020 |
| Certified by provider | Sep 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN9364653 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 306 |
|---|---|
| Services billed | 1,245 across 8 procedure codes |
| Paid by Medicare | $66,570 |
Part D prescriptions in 2024
| Prescriptions (claims) | 828 · 831 30-day fills |
|---|---|
| Patients | 139 |
| Total drug cost | $20,454 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Advanced Care Hospitalists PlLakeland, FL · 65 clinicians
Hospital affiliation
- Lakeland Regional Medical CenterLakeland, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 45 family nurse practitioners in Mount Vernon · All family nurse practitioners in New York