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

Mrs. Amanda Rae Padilla Marquez, NP-C

Individual provider Family Nurse Practitioner · NPI 1053897645

Mrs. Amanda Rae Padilla Marquez, NP-C is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2018, 8 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and South Carolina.

Years since qualifying
8
Licensed in
NC, SC
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

14135 Ballantyne Corporate Pl Ste 225
Charlotte, NC 28277-3871
Phone: (704) 316-2930
Show map & directions

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

Additional practice locations (2)

  • 15825 Ballantyne Medical Pl Ste 220, Charlotte, NC 28277-4790 — (704) 316-2930
  • 935 W 2nd St, Swansea, SC 29160-8665 — (803) 568-2000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5017371 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 22057 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5017371 (NC)

Record details

NPI number1053897645
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 17, 2018
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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