Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Fisher Craddock

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1275356206

Amanda Fisher Craddock is a Nurse Practitioner in Brooklyn, New York. Qualified in 2024, 2 years ago. Practices with Itrust Wellness Group, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and South Carolina.

Years since qualifying
2
Licensed in
NY, SC
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

199 Schenck Ave Ph 6
Brooklyn, NY 11207-4580
Phone: (864) 367-3161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F406770-01 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 29243 (SC)

Record details

NPI number1275356206
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 7, 2024
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Itrust Wellness Group — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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