Individual ProviderAmanda R Chrisman- ReplogleCase Manager/Care CoordinatorOther Service ProvidersPractice Address5601 Domingo Rd NE, Albuquerque, NM 87108-1610(505) 265-5295PECOS EnrollmentBased on the most recent information from CMS, provider Amanda R Chrisman- Replogle does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1831715036Provider TypeIndividualFull NameChrisman- Replogle, Amanda RGenderFemaleSole ProprietorNoEnumeration Date6/23/2020Last Updated6/23/2020Contact InformationPractice LocationPractice Address5601 Domingo Rd NE, Albuquerque, NM 87108-1610Phone(505) 265-5295Fax(505) 268-9967Mailing LocationMailing Address5601 Domingo Rd NE, Albuquerque, NM 87108-1610Phone(505) 265-5295Fax(505) 268-9967Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer