AMANDA POUSSARD (CPNP) – Pediatric Nurse Practitioner, NPI 1992338511
Pediatric Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for AMANDA POUSSARD (CPNP)
175 GWINNETT DR
LAWRENCEVILLE, GA 300468444
Phone: (678) 209-2394
Type: Location
175 Gwinnett Dr
Lawrenceville, GA 300468444
Phone: (678) 209-2394
Type: Location
725 NORTH ST
PITTSFIELD, MA 012014109
Phone: (413) 447-2100
Type: Location
35 SUNNYSIDE PARK
SAUGUS, MA 019063062
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $260.
Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.
Last reported payment date: 2024-03-15 • Largest payer in this snapshot: Seqirus USA Inc ($139).
Total Amount
$260
General + Research + Ownership
Payments
4
Total payment records
General Amount
$260
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Seqirus USA Inc | $139 |
| Ironshore Pharmaceuticals Inc. | $77 |
| Genentech USA, Inc. | $44 |
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: 2023-01-31
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 |
|---|---|---|---|---|
| I20230131002982 | I | Nurse Practitioner | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30046)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Emergency Medicine | MI | |
| Emergency Medicine | MA | |
| Nurse Practitioner | MA | |
| Internal Medicine | MA | |
| Emergency Medicine | MA | |
| A N E S T H E S I O L O G Y | MA | |
| - | OR | |
| Internal Medicine | MA |
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