AMY SOUTHERN HOLT (CRNP) – Acute Care Nurse Practitioner, NPI 1790326247
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
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Provider Addresses for AMY SOUTHERN HOLT (CRNP)
234 OAK BROOK DR
FLORENCE, AL 356306632
Phone:
Type: Mailing
125, Veterans Drive, Florence, Lauderdale County, Alabama, 35630, United States
FLORENCE, AL 356304932
Phone: (256) 766-0150
Fax: (256) 764-4638
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $1,941.
Total Amount is formed as General ($1,941) + Research ($0) + Ownership ($0) = $1,941.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,608).
Total Amount
$1,941
General + Research + Ownership
Payments
21
Total payment records
General Amount
$1,941
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,608 |
| Kerecis Limited | $153 |
| Merit Medical Systems Inc | $57 |
| Smith+Nephew, Inc. | $21 |
| KCI USA, Inc. | $20 |
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: 2019-12-12
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 |
|---|---|---|---|---|
| I20191212002895 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $0 |
| 47563 | Removal of gallbladder with x-ray study of bile ducts using an endoscope | 23 | 23 | $0 |
| 49650 | Repair of groin hernia using an endoscope | 22 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 20 | $0 |
| 49591 | Initial repair of sliding hernia of abdomen, less than 3 cm in length | 11 | 11 | $0 |
Insurance plans in this area (ZIP 35630)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| Family Practice | AL |
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