AMANDA PHELPS (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164019600
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for AMANDA PHELPS (APRN)
2606 CENTENNIAL PL
TALLAHASSEE, FL 323080572
Phone: (850) 205-0189
Fax: (850) 329-2903
Type: Mailing
1407 M D Ln Ste B
Tallahassee, FL 323085349
Phone: (850) 641-7961
Fax: (850) 312-3983
Type: Location
1407 M D Ln Ste A
Tallahassee, FL 323085349
Phone: (850) 877-0635
Fax: (850) 205-0195
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $20 |
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: 2021-02-10
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 |
|---|---|---|---|---|
| I20210210000533 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32308)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | FL | |
| Physician Assistant | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | PR | |
| Clinical Psychologist | FL | |
| P S Y C H I A T R Y | FL |
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