JOHNNIE ISIOMA AMADI (CRNP) – Primary Care Nurse Practitioner, NPI 1134639115

JOHNNIE ISIOMA AMADI (CRNP) is a healthcare provider. based in Huntsville, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-115309 (AL). The NPI Number for JOHNNIE ISIOMA AMADI (CRNP) is 1134639115

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JOHNNIE ISIOMA AMADI (CRNP)
NPI
1134639115
Phone
(256) 851-8433
Address
2616 JORDAN LN NW
Enumeration Date
4 October 2017
Last Update Date
14 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2565135013
Graduation Year
2013 (13 years ago)
PAC ID
5799184917
Group Practice PAC ID
9133538432
Professional Enrollment ID
I20210520001133
Address ID
AL358104410HU2525XNWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for JOHNNIE ISIOMA AMADI (CRNP)

  • 2616, Jordan Lane Northwest, Gentily Forest, Huntsville, Madison County, Alabama, 35816, United States

    HUNTSVILLE, AL 358161014

    Phone: (256) 851-8433

    Fax: (256) 851-6080

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $251.

Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: SK Life Science, Inc. ($177).

Total Amount

$251

General + Research + Ownership

Payments

7

Total payment records

General Amount

$251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210520001133INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35816)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133538432View full group profile
NameSpecialtyState
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerMO
Nurse PractitionerGA
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Mental Health CounselorAL
Internal Medicine, HospitalistAL

Reviews

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Frequently asked questions

What federal number belongs to JOHNNIE ISIOMA AMADI (CRNP)?
The federal identifier for JOHNNIE ISIOMA AMADI (CRNP) is NPI 1134639115.
Is JOHNNIE ISIOMA AMADI (CRNP) currently active in the NPI registry?
CMS-published data lists JOHNNIE ISIOMA AMADI (CRNP) as an active registrant.
Does JOHNNIE ISIOMA AMADI (CRNP) list a primary specialty?
If you are matching referrals, note Primary Care Nurse Practitioner for JOHNNIE ISIOMA AMADI (CRNP). Clinical services aligned with this taxonomy classification.
Where does public data place JOHNNIE ISIOMA AMADI (CRNP)?
The snapshot lists Huntsville, Alabama for JOHNNIE ISIOMA AMADI (CRNP); download NPPES for the complete set.
Is JOHNNIE ISIOMA AMADI (CRNP) a real provider?
This page reflects official NPPES data for NPI 1134639115. Always confirm identity and privileges with the practice and licensing boards.

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