AMY C QUEEN (NP) – Acute Care Nurse Practitioner, NPI 1275026072

AMY C QUEEN (NP) is a healthcare provider. based in Marietta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 173670 (MT). The NPI Number for AMY C QUEEN (NP) is 1275026072

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AMY C QUEEN (NP)
NPI
1275026072
Phone
(770) 422-2326
Address
61 WHITCHER ST NE STE 3110
Enumeration Date
7 June 2018
Last Update Date
14 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4067563526
Graduation Year
2018 (8 years ago)
PAC ID
3173874682
Group Practice PAC ID
5294644381
Professional Enrollment ID
I20210222001770
Address ID
MT599013129KA320XXLNXX300
Telehealth
Yes

Contacts

Secure Messaging
aqueen534115@directwellstar.org
Secure Messaging
krmcmedicalrecords@krhdirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

9,652 NURSE PRACTITIONER in GA

Provider Addresses for AMY C QUEEN (NP)

  • 61 WHITCHER ST NE STE 3110

    MARIETTA, GA 300601179

    Phone: (770) 422-2326

    Fax: (770) 422-7797

    Type: Mailing

  • 35 HOSPITAL RD

    BLAIRSVILLE, GA 305123139

    Phone: (706) 745-2111

    Type: Mailing

  • 310 Sunnyview Ln

    Kalispell, MT 599013129

    Phone: (406) 752-5111

    Type: Location

  • 35 Hospital Rd

    Blairsville, GA 30512

    Phone: (706) 745-2111

    Type: Location

  • 310 SUNNYVIEW LN

    KALISPELL, MT 599013129

    Phone: (406) 752-5111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Medtronic, Inc. ($17).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180922000068INurse PractitionerGATBD
I20210222001770INurse PractitionerMTTBD
I20240822002901INurse PractitionerNCTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3918$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 5294644381View full group profile
NameSpecialtyState
Nurse PractitionerTX
Infectious Disease, Internal MedicineMT
-MT
-MT
Internal MedicineMT
Cardiovascular Disease (Cardiology), Interventional CardiologyMT
Diagnostic RadiologyCA
-MT
-MT
Family PracticeMT

Reviews

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Frequently asked questions

Can I verify AMY C QUEEN (NP) with an NPI only?
You can start verification with NPI 1275026072 for AMY C QUEEN (NP), then check state licensing separately.
Is AMY C QUEEN (NP) listed as active for patients and plans?
The listing shows AMY C QUEEN (NP) as active in the NPI system.
What taxonomy line describes AMY C QUEEN (NP)?
For research purposes, treat AMY C QUEEN (NP) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect AMY C QUEEN (NP) on a map?
Expect Marietta, Georgia as a primary anchor for AMY C QUEEN (NP) unless the record lists multiple sites.
Why does AMY C QUEEN (NP) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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