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

Amanda Leigh Perry, AG-ACNP

Individual provider Nurse Practitioner · NPI 1265116610

Amanda Leigh Perry, AG-ACNP is a Nurse Practitioner in Saint Marys, Ohio. Qualified in 2023, 3 years ago. Practices with Jtdm Family Practice LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2023

Practice location Address checks out

200 Saint Clair Ave Ste 101
Saint Marys, OH 45885-2400
Phone: (419) 394-9522
Fax: (419) 394-9523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0034318 (OH)

Record details

NPI number1265116610
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedJune 14, 2023
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

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 Jtdm Family Practice Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Marys