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

Amanda Fuller

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1386420644

Amanda Fuller is a Nurse Practitioner in Binghamton, New York. Qualified in 2023, 3 years ago. Practices with Southern Tier Psychiatry PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

33 Mitchell Ave
Binghamton, NY 13903-1642
Phone: (607) 762-2340
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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 405205 (NY)

Record details

NPI number1386420644
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2023
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 3, 2023
Mailing address9 Bradley St, Owego, NY 13827-1701

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Southern Tier Psychiatry Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Binghamton