EMILY KATHERINE AMACK (APN) – Family Nurse Practitioner, NPI 1134630833
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EMILY KATHERINE AMACK (APN)
10375 Park Meadows Dr Ste 270
Lone Tree, CO 801246760
Phone: (303) 351-5995
Fax: (720) 925-5897
Type: Location
Snow Mesa Drive, Saddle Brook, Fort Collins, Larimer County, Colorado, 80528-9599, United States
FORT COLLINS, CO 805288614
Phone: (970) 225-5107
Type: Mailing
Miramont Family Medicine, 9251, South Twenty Mile Road, Parker, Douglas County, Colorado, 80134, United States
PARKER, CO 801344980
Phone: (303) 805-5528
Fax: (303) 805-5529
Type: Location
63 N QUEBEC ST STE 300
DENVER, CO 802307358
Phone: (720) 798-2811
Fax: (720) 925-5897
Type: Location
5445 DTC PKWY STE 1130
GREENWOOD VILLAGE, CO 801113038
Phone: (720) 749-5599
Fax: (720) 925-5897
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: 2019-10-22
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 |
|---|---|---|---|---|
| I20191022002970 | I | Nurse Practitioner | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | CO | |
| Physical Therapist In Private Practice | CO | |
| C H I R O P R A C T I C | CO | |
| Physical Therapist In Private Practice | CO | |
| C H I R O P R A C T I C | CA | |
| C H I R O P R A C T I C | CO | |
| C H I R O P R A C T I C | MN | |
| Physical Therapist In Private Practice | PA | |
| Physical Therapist In Private Practice | CO | |
| C H I R O P R A C T I C | WI |
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