AMY BOPHA BUN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1144951195

AMY BOPHA BUN (PMHNP) is a healthcare provider. based in Denver, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN2364619 (MA). The NPI Number for AMY BOPHA BUN (PMHNP) is 1144951195

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
AMY BOPHA BUN (PMHNP)
NPI
1144951195
Phone
(720) 288-0052
Address
1600 BROADWAY STE 1600
Enumeration Date
21 June 2022
Last Update Date
22 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7853360439
Graduation Year
2022 (4 years ago)
PAC ID
6204294382
Group Practice PAC ID
2668383472
Professional Enrollment ID
I20230621003524
Address ID
KS665389739SE1600XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:3State licenses:3Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

Provider Addresses for AMY BOPHA BUN (PMHNP)

  • 1600 BROADWAY STE 1600

    DENVER, CO 802024916

    Phone: (720) 288-0052

    Type: Location

  • 9825 EAGLE DR

    MONT BELVIEU, TX 775239847

    Phone: (409) 267-4126

    Type: Location

  • 4443 BRANDEMERE WAY ST

    HOUSTON, TX 770663618

    Phone: (832) 868-5600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-02-06 • Largest payer in this snapshot: Lilly USA, LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$15
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: 2023-06-21

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
I20230621003524INurse PractitionerTXTBD

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 80202)

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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: 2668383472View full group profile
NameSpecialtyState
General SurgeryKS
Clinical Social WorkerNE
Physician AssistantKS
Clinical Social WorkerIN
Nurse PractitionerKS
Physician AssistantKS
Nurse PractitionerKS
Nurse PractitionerKS
Physician AssistantKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

Is AMY BOPHA BUN (PMHNP) listed with a National Provider Identifier?
Yes — AMY BOPHA BUN (PMHNP) has NPI 1144951195 on file in the registry.
Is there an active status for AMY BOPHA BUN (PMHNP)?
For scheduling context, AMY BOPHA BUN (PMHNP) is shown as active in the registry.
What kind of doctor is AMY BOPHA BUN (PMHNP)?
AMY BOPHA BUN (PMHNP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMY BOPHA BUN (PMHNP)?
Travel planning: use Denver, Colorado as the reference point for AMY BOPHA BUN (PMHNP), then confirm.
When was this NPI issued?
Enumeration for AMY BOPHA BUN (PMHNP) is noted as June 21, 2022 where the registry provides it.

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