Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Balk, RD, LD, PA-C

Individual provider Registered Dietitian · NPI 1851806467

Amanda Balk, RD, LD, PA-C is a Physician Assistant in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Practices with Midwest Medical Practitioners LLC, an 8-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2017
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5000 Cedar Plaza Pkwy Ste 300
Saint Louis, MO 63128-3891
Phone: (636) 282-0380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 Boyd St, De Soto, MO 63020-1702 — (636) 282-0380

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1851806467
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD , PA-C
Sole proprietorNo
NPI enumeratedDecember 5, 2017
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Midwest Medical Practitioners Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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