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

MS. Amanda C Mamrak, PA-C

Individual provider Physician Assistant · NPI 1255627196

MS. Amanda C Mamrak, PA-C is a Physician Assistant in Meridian, Idaho. Qualified in 2011, 15 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Pennsylvania.

Years since qualifying
15
Licensed in
ID, PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3399 E Louise Dr Ste 400
Meridian, ID 83642-5212
Phone: (208) 706-4650
Fax: (208) 706-4651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 N Academy Ave, Danville, PA 17822-2170 — (570) 271-6361

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3261975 (ID)
Physician Assistant Taxonomy 363A00000X · Licence MA054911 (PA)

Record details

NPI number1255627196
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 20, 2011
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Meridian