Amanda C. Mamrak, PA-C
NPI 1255627196ActiveIndividual· Physician Assistant· Meridian, ID
Physician Assistant (PA-C) with St Lukes Clinic-Treasure Valley LLC, practicing in Meridian, Idaho. Part D covered 190 prescriptions written in 2024, 92% of them generic. Kerecis Limited was the largest of 2 companies reporting payments in 2025, $45.01 in all, mostly food and beverage. Lists St Luke's Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1255627196 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 20, 2011 |
| Last updated in NPPES | Mar 27, 2025 |
| Certified by provider | Mar 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3261975 | ID |
| Physician Assistant | 363A00000X | MA054911 | PA |
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 - Physician Assistant (ID); Practitioner - Physician Assistant (PA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 190 · 218 30-day fills |
|---|---|
| Patients | 52 |
| Total drug cost | $7,180 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliation
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
- 2025$45.01 · 2 payments from 2 companies
- 2024$143.06 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $23.77 | 1 |
| Davol Inc. | $21.24 | 1 |
What the 2025 payments were for
- Food and Beverage$45.01 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 133 physician assistants in Meridian · All physician assistants in Idaho