AMY MARIE WYBENGA (CRNP) – General Practice Registered Nurse, NPI 1093896540

AMY MARIE WYBENGA (CRNP) is a healthcare provider. based in Inlet beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 11024394 (FL). The NPI Number for AMY MARIE WYBENGA (CRNP) is 1093896540

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
AMY MARIE WYBENGA (CRNP)
NPI
1093896540
Phone
(334) 233-1815
Address
89 SUWANNEE DR
Enumeration Date
18 October 2006
Last Update Date
17 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8503040694
Graduation Year
2005 (21 years ago)
PAC ID
9537176896
Group Practice PAC ID
2769616762
Professional Enrollment ID
I20241213003641
Address ID
FL325711403PA4713X90XX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for AMY MARIE WYBENGA (CRNP)

  • 89 SUWANNEE DR

    INLET BEACH, FL 324618689

    Phone: (334) 233-1815

    Fax: (850) 588-3593

    Type: Mailing

  • 2257, Taylor Road, Halcyon, Montgomery, Montgomery County, Alabama, 36117, United States

    SUITE 200

    MONTGOMERY, AL 361177790

    Phone: (334) 270-9914

    Fax: (334) 270-3195

    Type: Mailing

  • 564, North Memorial Drive, Prattville, Autauga County, Alabama, 36067, United States

    PRATTVILLE, AL 360672132

    Phone: (334) 358-2010

    Fax: (334) 358-2013

    Type: Location

  • 15415 PANAMA CITY BEACH PKWY

    PANAMA CITY BEACH, FL 324135409

    Phone: (850) 588-3589

    Fax: (850) 588-3593

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-06-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($57).

Total Amount

$141

General + Research + Ownership

Payments

8

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-24

Latest reported date

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: 2024-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060310000165INurse PractitionerALTBD
I20241213003641INurse PractitionerFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7566$0
81002Urinalysis, manual test2827$0
82044Urine microalbumin (protein) analysis2625$0
96372Injection of drug or substance under skin or into muscle1913$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1313$0
View full utilization report →

Insurance plans in this area (ZIP 32461)

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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: 2769616762View full group profile
NameSpecialtyState
Physician AssistantFL
Emergency MedicineGA
Family PracticeGA
Nurse PractitionerAL
Internal MedicineFL
Physician AssistantGA
-FL
-KY
Nurse PractitionerFL
Nurse PractitionerAZ

Reviews

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Frequently asked questions

What unique ID ties claims to AMY MARIE WYBENGA (CRNP)?
NPI 1093896540 is assigned to AMY MARIE WYBENGA (CRNP) under the national enumeration system.
Is AMY MARIE WYBENGA (CRNP) active in the national directory?
AMY MARIE WYBENGA (CRNP)'s public NPI profile is in an active state.
What field does AMY MARIE WYBENGA (CRNP) work in?
You can think of AMY MARIE WYBENGA (CRNP) as practicing within General Practice Registered Nurse. Clinical services aligned with this taxonomy classification.
Does AMY MARIE WYBENGA (CRNP) practice in Florida?
You will see Inlet Beach, Florida on file for AMY MARIE WYBENGA (CRNP) alongside any extra practice locations.
Is AMY MARIE WYBENGA (CRNP) a real provider?
This page reflects official NPPES data for NPI 1093896540. Always confirm identity and privileges with the practice and licensing boards.

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