AMY J HIESTAND (NP) – Nurse Practitioner, NPI 1124140116

AMY J HIESTAND (NP) is a healthcare provider. based in Westminster, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP30007639 (WA). The NPI Number for AMY J HIESTAND (NP) is 1124140116

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
AMY J HIESTAND (NP)
NPI
1124140116
Phone
(888) 432-2088
Address
PO BOX 12229
Enumeration Date
3 April 2007
Last Update Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8773462211
Graduation Year
2006 (20 years ago)
PAC ID
3678670031
Group Practice PAC ID
8527050731
Professional Enrollment ID
I20070521000238
Address ID
WA992042307SP101XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

Provider Addresses for AMY J HIESTAND (NP)

  • PO BOX 12229

    WESTMINSTER, CA 926852229

    Phone: (888) 432-2088

    Type: Mailing

  • 10 Nicholls St

    Davenport, WA 991229729

    Phone: (509) 725-7101

    Fax: (509) 725-2112

    Type: Location

  • 10 NICHOLLS ST

    DAVENPORT, WA 991229729

    Phone: (509) 725-7101

    Fax: (509) 725-2112

    Type: Mailing

  • 101 W 8TH AVE

    SPOKANE, WA 992054805

    Phone: (509) 474-3131

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $180.

Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Merz North America, Inc. ($99).

Total Amount

$180

General + Research + Ownership

Payments

5

Total payment records

General Amount

$180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

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: 2007-05-21

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
I20070521000238INurse PractitionerWATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 92685)

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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: 8527050731View full group profile

Reviews

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Frequently asked questions

How do I look up AMY J HIESTAND (NP) by NPI?
Use NPI 1124140116 when you need to reference AMY J HIESTAND (NP) in forms, claims, or directories.
Is AMY J HIESTAND (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does AMY J HIESTAND (NP) work in?
You can think of AMY J HIESTAND (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place AMY J HIESTAND (NP)?
The snapshot lists Westminster, California for AMY J HIESTAND (NP); download NPPES for the complete set.
What if Westminster, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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