Individual ProviderAmanda GencoNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address926 Main St, Nashville, TN 37206-3614(615) 436-9060PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Genco is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1730628785Provider TypeIndividualFull NameGenco, AmandaCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date2/22/2017Last Updated8/22/2024Contact InformationPractice LocationPractice Address926 Main St, Nashville, TN 37206-3614Phone(615) 436-9060Fax(615) 235-9725Mailing LocationMailing Address926 Main St, Nashville, TN 37206-3614Phone(615) 436-9060Fax(615) 235-9725Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense22282Tennessee