Amanda Krantz, FNP-C
Nurse Practitioner, Family in Coquille, OR. Individual provider (NPI-1).
NPI number1164082988
StatusActive
Last updated in NPPESJun 16, 2020
Details
- NPI
- 1164082988
- Entity type
- Individual (NPI-1)
- Name
- Amanda Krantz
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2019
- Certification date
- Jun 16, 2020
- Last updated
- Jun 16, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 201908745NP-PP | OR | Yes |
| 163W00000X | Registered Nurse | 201902517RN | OR |
Practice location
790 E 5th StCoquille, OR 97423-1755
Phone 541-396-7295
Mailing address
790 E 5th StCoquille, OR 97423-1755
Phone 541-396-7295
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Nurse Practitioner providers in Coquille, OR
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All 5 Family Nurse Practitioner providers in Coquille · All 78 providers in Coquille
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