Amantha Theodore
NPI 1003421066 · Family Nurse Practitioner · Mount Vernon, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amantha Theodore is a Family Nurse Practitioner provider in Mount Vernon, NY (NPI 1003421066).
Provider details
- NPI number
- 1003421066
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN9364653 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,235 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 1,068 | $61 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 123 | $99 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 44 | $144 |
Typical Medicare-allowed amounts for these services range $61–$144 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 141 | 23 |
| Tramadol Hcl | 141 | 37 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 59 | 16 |
| Lorazepam | 36 | 16 |
| Oxycodone Hcl | 31 | — |
| Clonazepam | 29 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-09-15
- Last updated
- 2020-09-15
- Certified
- 2020-09-15
Frequently asked questions
- What is Amantha Theodore's NPI number?
- Amantha Theodore's National Provider Identifier (NPI) is 1003421066, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amantha Theodore's specialty?
- Amantha Theodore is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Amantha Theodore located?
- Amantha Theodore's practice location on file with NPPES is 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552-3743.
- What is Amantha Theodore's phone number?
- The practice phone number listed in the NPPES registry for Amantha Theodore is (718) 920-9000.
- Does Amantha Theodore accept Medicare?
- Amantha Theodore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amantha Theodore's NPI active?
- Yes — Amantha Theodore's NPI (1003421066) is active in the NPPES registry as of the last update on 2020-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.