AMANDA PHILLIPS (FNP-BC, PMHNP-BC) – Family Nurse Practitioner, NPI 1689813305
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 PHILLIPS (FNP-BC, PMHNP-BC)
934, Wingate Trail, Pinnacle Parke, Port Orange, Volusia County, Florida, 32128, United States
PORT ORANGE, FL 321287524
Phone: (386) 846-7524
Fax: (386) 423-2525
Type: Mailing
136 JULIA ST UNIT 100
NEW SMYRNA BEACH, FL 321687713
Phone: (386) 423-9161
Type: Location
5821 S WILLIAMSON BLVD STE 204
PORT ORANGE, FL 321286102
Phone: (386) 231-6325
Type: Mailing
420 STADIUM RD
DAYTONA BEACH, FL 321142400
Phone: (386) 254-1149
Fax: (386) 236-3300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $852.
Total Amount is formed as General ($852) + Research ($0) + Ownership ($0) = $852.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($365).
Total Amount
$852
General + Research + Ownership
Payments
24
Total payment records
General Amount
$852
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $365 |
| W. L. Gore & Associates, Inc. | $131 |
| Medtronic, Inc. | $128 |
| Janssen Pharmaceuticals, Inc | $101 |
| Otsuka America Pharmaceutical, Inc. | $77 |
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: 2011-12-22
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 |
|---|---|---|---|---|
| I20111222000115 | 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 | 201 | 74 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 108 | 17 | $0 |
Insurance plans in this area (ZIP 32128)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | FL | 90670 | Pneumococcal vaccine for injection into muscle | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | MA | |
| - | FL | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.