AMANDA RUCKER LANIER (PA-C) – Physician Assistant, NPI 1306216239

AMANDA RUCKER LANIER (PA-C) is a healthcare provider. based in Mountain brk, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA.1351 (AL). The NPI Number for AMANDA RUCKER LANIER (PA-C) is 1306216239

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA RUCKER LANIER (PA-C)
NPI
1306216239
Phone
(205) 877-9773
Address
14 Office Park Cir
Enumeration Date
5 October 2015
Last Update Date
4 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2058779773
Graduation Year
2015 (11 years ago)
PAC ID
1254620511
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20181008001263
Address ID
AL352231937MO2900XRDXX300

Contacts

Secure Messaging
alanier@villagedermatology.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

1,201 PHYSICIAN ASSISTANT in AL

Provider Addresses for AMANDA RUCKER LANIER (PA-C)

  • 14 Office Park Cir

    Mountain Brk, AL 352232563

    Phone: (205) 877-9773

    Fax: (205) 877-9775

    Type: Location

  • 5405 LANE PARKE CT

    MOUNTAIN BROOK, AL 352232554

    Phone:

    Type: Mailing

  • 150 Gilbreath Dr

    Oneonta, AL 351212827

    Phone: (205) 877-9773

    Fax: (205) 877-9775

    Type: Location

  • 430 Fieldstown Rd Ste 104

    Gardendale, AL 350712458

    Phone: (205) 877-9773

    Fax: (205) 877-9775

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone:

    Type: Mailing

  • 2900 CAHABA RD

    MOUNTAIN BRK, AL 352231937

    Phone: (205) 877-9773

    Fax: (205) 877-9775

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 110 Open Payments records for all available years, with a total value of $2,540.

Total Amount is formed as General ($2,540) + Research ($0) + Ownership ($0) = $2,540.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($210).

Total Amount

$2,540

General + Research + Ownership

Payments

110

Total payment records

General Amount

$2,540

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

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: 2018-10-08

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
I20181008001263IPhysician AssistantALTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths19555$0
99213Established patient office or other outpatient visit, 20-29 minutes150132$0
17000Destruction of precancer skin growth, 1 growth11293$0
11102Biopsy of related skin growth, first growth8573$0
17110Destruction of skin growth, 1-14 growths8264$0
View full utilization report →

Insurance plans in this area (ZIP 35223)

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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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

How do payers reference AMANDA RUCKER LANIER (PA-C)?
For AMANDA RUCKER LANIER (PA-C), use NPI 1306216239 as the unique 10-digit identifier.
Is AMANDA RUCKER LANIER (PA-C) still an active registrant?
AMANDA RUCKER LANIER (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with AMANDA RUCKER LANIER (PA-C)?
AMANDA RUCKER LANIER (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with AMANDA RUCKER LANIER (PA-C)?
Directory geography for AMANDA RUCKER LANIER (PA-C) centers on Mountain Brk, Alabama.
Can I trust this NPI listing for AMANDA RUCKER LANIER (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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