AMANDA STAR (AU.D.) – Audiologist, NPI 1124877360

AMANDA STAR (AU.D.) is a healthcare provider. based in Rogers, Arkansas. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. The NPI Number for AMANDA STAR (AU.D.) is 1124877360

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA STAR (AU.D.)
NPI
1124877360
Phone
(479) 750-2080
Address
3730 S Pinnacle Hills Pkwy Ste 1
Enumeration Date
17 May 2024
Last Update Date
17 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4797502080
Graduation Year
2024 (2 years ago)
PAC ID
5193264786
Group Practice PAC ID
3870594641
Professional Enrollment ID
I20240827003288
Address ID
AR727626096SP6823XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

74 QUALIFIED AUDIOLOGIST in AR

Provider Addresses for AMANDA STAR (AU.D.)

  • 3730 S Pinnacle Hills Pkwy Ste 1

    Rogers, AR 727588897

    Phone: (479) 750-2080

    Type: Location

  • 34807 N 32ND DR APT 2043

    PHOENIX, AZ 850864014

    Phone: (386) 337-2258

    Type: Mailing

  • 6823 ISAACS ORCHARD RD

    SPRINGDALE, AR 727626096

    Phone: (479) 750-2080

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-08-27

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
I20240827003288IQualified AudiologistARTBD

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 72758)

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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: 3870594641View full group profile
NameSpecialtyState
Qualified AudiologistAR
-AR
O T O L A R Y N G O L O G YAR
Qualified AudiologistAR
Nurse PractitionerAR
-AR
Qualified AudiologistAR
O T O L A R Y N G O L O G YAR
-AR
-AR

Reviews

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Frequently asked questions

Is there an official ID for AMANDA STAR (AU.D.) in U.S. healthcare records?
The official identifier for AMANDA STAR (AU.D.) is NPI 1124877360.
Active or inactive — what applies to AMANDA STAR (AU.D.)?
You should see AMANDA STAR (AU.D.) as active in CMS-hosted NPPES data.
What kind of doctor is AMANDA STAR (AU.D.)?
AMANDA STAR (AU.D.) is associated with Audiologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Arkansas is AMANDA STAR (AU.D.) registered?
Use Rogers, Arkansas as the headline location for AMANDA STAR (AU.D.) here.
When was this NPI issued?
Enumeration for AMANDA STAR (AU.D.) is noted as May 17, 2024 where the registry provides it.

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