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

Mrs. Amanda Jo Prestigiacomo, FNP-C

Individual provider Nurse Practitioner · NPI 1043747579

Mrs. Amanda Jo Prestigiacomo, FNP-C is a Nurse Practitioner in Twin Falls, Idaho. Qualified in 2017, 9 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

350 N Haven Dr
Twin Falls, ID 83301-5788
Phone: (208) 904-4780
Fax: (208) 904-4832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 55632 (ID)

Record details

NPI number1043747579
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 15, 2017
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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