AMY MARIE MCGOVERN (FNP) – Family Nurse Practitioner, NPI 1093344756

AMY MARIE MCGOVERN (FNP) is a healthcare provider. based in San dimas, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 95014180 (CA). The NPI Number for AMY MARIE MCGOVERN (FNP) is 1093344756

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMY MARIE MCGOVERN (FNP)
NPI
1093344756
Phone
(630) 803-8239
Address
1466 CALLE PAJAROS
Enumeration Date
5 April 2020
Last Update Date
28 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6152842310
Graduation Year
2019 (7 years ago)
PAC ID
9638584980
Group Practice PAC ID
9436571999
Professional Enrollment ID
I20220727002373
Address ID
TN372031516NA335XXNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for AMY MARIE MCGOVERN (FNP)

  • 1466 CALLE PAJAROS

    SAN DIMAS, CA 917734209

    Phone: (630) 803-8239

    Type: Mailing

  • 1500 DUARTE RD

    DUARTE, CA 910103012

    Phone: (626) 471-9200

    Type: Location

  • 1718 PATTERSON ST

    NASHVILLE, TN 372032926

    Phone: (615) 346-8546

    Fax: (615) 346-8547

    Type: Mailing

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: 2022-07-27

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
I20220727002373INurse PractitionerTNTBD

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
99497Advance care planning, first 30 minutes144116$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes142138$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10353$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5929$0
99498Advance care planning, each additional 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 91773)

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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: 9436571999View full group profile
NameSpecialtyState
Internal MedicineOH
H E M A T O L O G Y/ O N C O L O G YIL
Nurse PractitionerTN
Nurse PractitionerTN
H E M A T O L O G Y/ O N C O L O G YTX
Nurse PractitionerTN
H E M A T O L O G Y/ O N C O L O G YTX
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What identifier follows AMY MARIE MCGOVERN (FNP) across health systems?
The NPI 1093344756 uniquely identifies AMY MARIE MCGOVERN (FNP) in U.S. healthcare data.
Should I treat AMY MARIE MCGOVERN (FNP) as an active provider?
Patients and plans typically see AMY MARIE MCGOVERN (FNP) as active in the national extract.
What type of care does AMY MARIE MCGOVERN (FNP) provide?
AMY MARIE MCGOVERN (FNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is AMY MARIE MCGOVERN (FNP) tied to San Dimas, California?
If you are local to San Dimas, California, AMY MARIE MCGOVERN (FNP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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