AMANDA KNIGHTLY GREEN – Nurse Practitioner, NPI 1508524802
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for AMANDA KNIGHTLY GREEN
226 Mitylene Park Dr
Montgomery, AL 361173548
Phone: (334) 875-4200
Type: Location
25 SHADY OAK TRL
DEATSVILLE, AL 360223612
Phone: (256) 454-4374
Type: Mailing
226 MITYLENE PARK DR
MONTGOMERY, AL 361173548
Phone: (334) 875-4200
Type: Location
201 DEFENSE HWY STE 205
ANNAPOLIS, MD 214017096
Phone: (855) 527-7246
Type: Mailing
488 SAINT LUKES DR
MONTGOMERY, AL 361177104
Phone: (334) 288-7808
Fax: (334) 288-8089
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $206.
Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($40).
Total Amount
$206
General + Research + Ownership
Payments
10
Total payment records
General Amount
$206
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vanda Pharmaceuticals Inc. | $40 |
| Collegium Pharmaceutical, Inc. | $37 |
| ITI, Inc. | $26 |
| Almatica Pharma LLC | $24 |
| Neurocrine BioSciences Inc. | $23 |
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: 2023-11-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231120000438 | I | Nurse Practitioner | AL | TBD |
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.
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 36117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Anesthesiology, Pain Management | AL |
Reviews
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