MRS. AMANDA LORGE JOHNSON (FNP-C) – Family Nurse Practitioner, NPI 1205350931
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. AMANDA LORGE JOHNSON (FNP-C)
12280 Lake Underhill Rd
Orlando, FL 328255009
Phone: (999) 999-9999
Type: Location
4565 DAISY REID AVE
WOODBRIDGE, VA 221925670
Phone: (571) 297-1414
Type: Location
3990 Fettler Park Dr
Dumfries, VA 220251997
Phone: (571) 499-5813
Type: Location
3990 FETTLER PARK DR
DUMFRIES, VA 220251997
Phone: (571) 499-5813
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: 2022-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20180622001001 | I | Nurse Practitioner | DC | TBD |
| I20181211003496 | I | Nurse Practitioner | VA | TBD |
| I20220608002408 | I | Nurse Practitioner | MI | TBD |
| I20220613000384 | I | Nurse Practitioner | NC | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 32825)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Physician Assistant | OK | |
| Orthopedic Surgery, Sports Medicine | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| - | MD | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Interventional Pain Management | VA | |
| Nurse Practitioner | VA |
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