Amanda Grace Fentress
NPI 1730040742ActiveIndividual· Physician Assistant· Melbourne, FL
Physician Assistant in Melbourne, Florida, licensed in FL, with an NPI issued in November 2025. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1730040742 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 19, 2025 |
| Last updated in NPPES | Nov 19, 2025 |
| Certified by provider | Nov 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1237720 | 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 - Physician Assistant (FL) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Melbourne
- 1003871849
- 1033111323
- 1033494604
- 1073102216
- 1093331787
- 1164833240
- 1184237075
- 1194033860
- 1194359018
- 1295708568
- 1306811567
- 1326730227
All 110 physician assistants in Melbourne · All physician assistants in Florida