AMANDA BLACK (FNP-BC) – Family Nurse Practitioner, NPI 1609251073
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,201 NURSE PRACTITIONER in CO
Provider Addresses for AMANDA BLACK (FNP-BC)
327 PARK AVE
FORT LUPTON, CO 806211929
Phone: (303) 857-2711
Type: Mailing
8853 FOX DR STE 200
THORNTON, CO 802606864
Phone: (303) 487-8817
Fax: (303) 487-0429
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,060.
Total Amount is formed as General ($1,060) + Research ($0) + Ownership ($0) = $1,060.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($173).
Total Amount
$1,060
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,060
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $173 |
| AstraZeneca Pharmaceuticals LP | $104 |
| Lilly USA, LLC | $101 |
| ABIOMED | $93 |
| PFIZER INC. | $61 |
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: 2016-02-05
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 |
|---|---|---|---|---|
| I20160205000250 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 20 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 15 | 15 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 80621)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO | |
| Family Practice | CO | |
| Family Practice | CO | |
| Family Practice | CO | |
| Internal Medicine | CO | |
| Internal Medicine | CO | |
| Family Practice | CO | |
| Family Practice | CO |
Reviews
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