MRS. AMANDA DEASE HARGROVE (CRNP) – Nurse Practitioner, NPI 1568895589

MRS. AMANDA DEASE HARGROVE (CRNP) is a healthcare provider. based in Montgomery, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-100027 (AL). The NPI Number for MRS. AMANDA DEASE HARGROVE (CRNP) is 1568895589

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA DEASE HARGROVE (CRNP)
NPI
1568895589
Phone
(334) 288-7808
Address
2065 E SOUTH BLVD STE 401
Enumeration Date
13 August 2013
Last Update Date
25 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3344168298
Graduation Year
2013 (13 years ago)
PAC ID
6608094537
Group Practice PAC ID
9335480730
Professional Enrollment ID
I20140905001406
Address ID
AL361167271MO3186XCIRX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MRS. AMANDA DEASE HARGROVE (CRNP)

  • 2065 E SOUTH BLVD STE 401

    MONTGOMERY, AL 361162462

    Phone: (334) 288-7808

    Fax: (334) 288-8089

    Type: Mailing

  • 3186 PARLIAMENT CIR STE 902

    MONTGOMERY, AL 361167271

    Phone: (334) 416-8298

    Fax: (833) 260-4473

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $652.

Total Amount is formed as General ($652) + Research ($0) + Ownership ($0) = $652.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($652).

Total Amount

$652

General + Research + Ownership

Payments

61

Total payment records

General Amount

$652

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: 2014-09-05

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
I20140905001406INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes189175$0
99213Established patient office or other outpatient visit, 20-29 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 36116)

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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: 9335480730View full group profile
NameSpecialtyState
-AL
N E U R O L O G YAL
Registered Dietitian Or Nutrition ProfessionalAL

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. AMANDA DEASE HARGROVE (CRNP)'s NPI?
Yes. MRS. AMANDA DEASE HARGROVE (CRNP) is listed with NPI 1568895589 in the public NPI dataset.
Is MRS. AMANDA DEASE HARGROVE (CRNP) listed as active for patients and plans?
The listing shows MRS. AMANDA DEASE HARGROVE (CRNP) as active in the NPI system.
What taxonomy line describes MRS. AMANDA DEASE HARGROVE (CRNP)?
For research purposes, treat MRS. AMANDA DEASE HARGROVE (CRNP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. AMANDA DEASE HARGROVE (CRNP) on a map?
Expect Montgomery, Alabama as a primary anchor for MRS. AMANDA DEASE HARGROVE (CRNP) unless the record lists multiple sites.
Is the information about MRS. AMANDA DEASE HARGROVE (CRNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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