DR. AMANDA NICOLE KALLEN (MD) – Reproductive Endocrinology Physician, NPI 1467623371

DR. AMANDA NICOLE KALLEN (MD) is a healthcare provider. based in New haven, Connecticut. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 049244 (CT). The NPI Number for DR. AMANDA NICOLE KALLEN (MD) is 1467623371

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA NICOLE KALLEN (MD)
NPI
1467623371
Phone
(203) 688-2259
Address
20 YORK STREET, T209
Enumeration Date
19 March 2008
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
8028470000
Graduation Year
2007 (19 years ago)
PAC ID
3577740067
Group Practice PAC ID
3779491071
Professional Enrollment ID
I20221222001576
Address ID
VT054011473BU111XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:18State licenses:2Digital endpointsOther names

827 OBSTETRICS/GYNECOLOGY in CT

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Provider Addresses for DR. AMANDA NICOLE KALLEN (MD)

  • York Street, Downtown, New Haven, New Haven County, Connecticut, 06520, United States

    YALE NEW HAVEN HOSPITAL

    NEW HAVEN, CT 06510

    Phone: (203) 688-2259

    Fax: (203) 688-5599

    Type: Mailing

  • 111 COLCHESTER AVE

    BURLINGTON, VT 054011473

    Phone: (802) 847-0000

    Type: Location

  • 20 York Street, T209

    Yale New Haven Hospital

    New Haven, CT 06510

    Phone: (203) 688-2259

    Fax: (203) 688-5599

    Type: Location

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: 2022-12-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221222001576IObstetrics/GynecologyVTTBD

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
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina3332$0
View full utilization report →

Insurance plans in this area (ZIP 06510)

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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: 3779491071View full group profile

Reviews

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Frequently asked questions

Is DR. AMANDA NICOLE KALLEN (MD) listed with a National Provider Identifier?
Yes — DR. AMANDA NICOLE KALLEN (MD) has NPI 1467623371 on file in the registry.
Is DR. AMANDA NICOLE KALLEN (MD) still an active registrant?
DR. AMANDA NICOLE KALLEN (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. AMANDA NICOLE KALLEN (MD)?
DR. AMANDA NICOLE KALLEN (MD) is associated with Reproductive Endocrinology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. AMANDA NICOLE KALLEN (MD)?
Travel planning: use New Haven, Connecticut as the reference point for DR. AMANDA NICOLE KALLEN (MD), then confirm.
When was this NPI issued?
Enumeration for DR. AMANDA NICOLE KALLEN (MD) is noted as March 19, 2008 where the registry provides it.

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