AMANDA WARREN (MSN, AG-ACNP-BC) – Acute Care Nurse Practitioner, NPI 1225792641

AMANDA WARREN (MSN, AG-ACNP-BC) is a healthcare provider. based in Gainesville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, AG-ACNP-BC. They hold a License No. RN150028 (GA). The NPI Number for AMANDA WARREN (MSN, AG-ACNP-BC) is 1225792641

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA WARREN (MSN, AG-ACNP-BC)
NPI
1225792641
Phone
(404) 643-7649
Address
5737 RIDGEWATER DR
Enumeration Date
22 October 2021
Last Update Date
22 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702241000
Graduation Year
2021 (5 years ago)
PAC ID
6608253562
Group Practice PAC ID
9739189838
Professional Enrollment ID
I20220513001903
Address ID
GA301158015CA450XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for AMANDA WARREN (MSN, AG-ACNP-BC)

  • 5737 RIDGEWATER DR

    GAINESVILLE, GA 305062391

    Phone: (404) 643-7649

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $708.

Total Amount is formed as General ($708) + Research ($0) + Ownership ($0) = $708.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($260).

Total Amount

$708

General + Research + Ownership

Payments

36

Total payment records

General Amount

$708

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-05-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220513001903INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes247190$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes207123$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes17299$0
99214Established patient office or other outpatient visit, 30-39 minutes2827$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 30506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739189838View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyGA
-GA
Nurse PractitionerGA
Internal Medicine, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Physician AssistantOH
Physician AssistantGA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA

Reviews

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Frequently asked questions

Is AMANDA WARREN (MSN, AG-ACNP-BC) listed with a National Provider Identifier?
Yes — AMANDA WARREN (MSN, AG-ACNP-BC) has NPI 1225792641 on file in the registry.
Would AMANDA WARREN (MSN, AG-ACNP-BC) appear as active to a payer?
You can treat AMANDA WARREN (MSN, AG-ACNP-BC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is AMANDA WARREN (MSN, AG-ACNP-BC)?
AMANDA WARREN (MSN, AG-ACNP-BC) is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMANDA WARREN (MSN, AG-ACNP-BC)?
Travel planning: use Gainesville, Georgia as the reference point for AMANDA WARREN (MSN, AG-ACNP-BC), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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