AMY MARIE WYBENGA (CRNP) – General Practice Registered Nurse, NPI 1093896540
General Practice Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $57 |
| GlaxoSmithKline, LLC. | $19 |
| Mylan Specialty L.P. | $19 |
| Astellas Pharma US Inc | $18 |
| Novo Nordisk Inc | $16 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060310000165 | I | Nurse Practitioner | AL | TBD |
| I20241213003641 | I | Nurse Practitioner | FL | 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 | 75 | 66 | $0 |
| 81002 | Urinalysis, manual test | 28 | 27 | $0 |
| 82044 | Urine microalbumin (protein) analysis | 26 | 25 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 19 | 13 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 13 | 13 | $0 |
Insurance plans in this area (ZIP 32461)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Emergency Medicine | GA | |
| Family Practice | GA | |
| Nurse Practitioner | AL | |
| Internal Medicine | FL | |
| Physician Assistant | GA | |
| - | FL | |
| - | KY | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | AZ |
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