AMANDA RACHEL SELF (FNP-C) – Family Nurse Practitioner, NPI 1609276732
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 AMANDA RACHEL SELF (FNP-C)
2114 CREIGHTON RD STE A
PENSACOLA, FL 325047218
Phone: (850) 848-9500
Fax: (850) 901-0009
Type: Mailing
8333 N. DAVIS HIGHWAY
4TH FLOOR
PENSACOLA, FL 32514
Phone: (850) 969-7979
Fax: (850) 476-9352
Type: Mailing
8333 N DAVIS HWY FL 4
PENSACOLA, FL 325146050
Phone: (850) 969-7979
Fax: (850) 476-9352
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 169 Open Payments records for all available years, with a total value of $2,628.
Total Amount is formed as General ($2,628) + Research ($0) + Ownership ($0) = $2,628.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($429).
Total Amount
$2,628
General + Research + Ownership
Payments
169
Total payment records
General Amount
$2,628
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $429 |
| PFIZER INC. | $393 |
| Novo Nordisk Inc | $298 |
| Amgen Inc. | $212 |
| ABBVIE INC. | $187 |
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: 2017-08-02
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 |
|---|---|---|---|---|
| I20170802002673 | 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 | 238 | 139 | $0 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 79 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 54 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 30 | 29 | $0 |
| 90674 | Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 16 | 16 | $0 |
Insurance plans in this area (ZIP 32504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL |
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