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Amanda Eileen Hathorn, ACNPC-AG

NPI 1578283651ActiveIndividual· Nurse Practitioner, Acute Care· Bossier City, LA

Nurse Practitioner, Acute Care (ACNPC-AG) in Bossier City, Louisiana, licensed in LA, with an NPI issued in August 2022. Medicare paid $19,114 for services to 168 patients in 2024.

Overview

NPI1578283651
StatusActive
Entity typeIndividual
CredentialACNPC-AG
Sole proprietorNo
NPI issuedAug 30, 2022
Last updated in NPPESJan 7, 2025
Certified by providerJan 7, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Acute Care Primary363LA2100X226879LA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (LA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients168
Services billed177 across 2 procedure codes
Paid by Medicare$19,114

Medicare sources and data years

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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