DR. AMANDA ROSE PEREZ (DNP, FNP-C) – Dermatology Physician, NPI 1275249757
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,191 NURSE PRACTITIONER in CT
Provider Addresses for DR. AMANDA ROSE PEREZ (DNP, FNP-C)
7 Cambridge Drive
Suite 207
Trumbull, CT 066114763
Phone: (203) 402-8816
Fax: (203) 371-4056
Type: Location
4700 EXCHANGE COURT
SUITE 110
BOCA RATON, FL 334314450
Phone: (860) 741-2225
Fax: (860) 664-0285
Type: Mailing
1343 BOSTON POST ROAD
SUITE 101
MADISON, CT 064433481
Phone: (860) 669-6156
Fax: (860) 664-0285
Type: Location
95 Stemway Rd
Trumbull, CT 066111836
Phone: (203) 275-5803
Type: Location
95 STEMWAY RD
TRUMBULL, CT 066111836
Phone: (203) 275-5803
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $1,441.
Total Amount is formed as General ($1,441) + Research ($0) + Ownership ($0) = $1,441.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Janssen Biotech, Inc. ($422).
Total Amount
$1,441
General + Research + Ownership
Payments
42
Total payment records
General Amount
$1,441
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $422 |
| Regeneron Healthcare Solutions, Inc. | $308 |
| ABBVIE INC. | $193 |
| Incyte Corporation | $175 |
| UCB, Inc. | $80 |
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: 2024-03-04
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 |
|---|---|---|---|---|
| I20240304000360 | I | Nurse Practitioner | CT | 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 06611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CT | |
| D E R M A T O L O G Y | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| D E R M A T O L O G Y | NY | |
| - | CT | |
| - | TX | |
| Physician Assistant | NY | |
| Physician Assistant | CT | |
| Physician Assistant | CT |
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