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

Mrs. Amanda Diane Kallas, CRNP

Individual provider Family Nurse Practitioner · NPI 1265833099

Mrs. Amanda Diane Kallas, CRNP is a Nurse Practitioner in Frederick, Maryland. Qualified in 2014, 12 years ago. Practices with Cardiovascular Specialists of Frederick, LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
12
Licensed in
MD
In the registry since
2014
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

180 Thomas Johnson Dr Ste 202
Frederick, MD 21702-4550
Phone: (301) 631-6877
Fax: (301) 631-5211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R178408 (MD)

Record details

NPI number1265833099
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 11, 2014
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cardiovascular Specialists Of Frederick, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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