MRS. AMANDA JO PRESTIGIACOMO (FNP-C) – Nurse Practitioner, NPI 1043747579
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,798 NURSE PRACTITIONER in ID
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Provider Addresses for MRS. AMANDA JO PRESTIGIACOMO (FNP-C)
St. Luke's Magic Valley Regional Medical Center, 801, Pole Line Road West, Twin Falls, Twin Falls County, Idaho, 83301, United States
TWIN FALLS, ID 833015810
Phone: (208) 814-0000
Type: Location
PO BOX 268934
OKLAHOMA CITY, OK 731268934
Phone: (208) 904-4780
Fax: (208) 904-4832
Type: Mailing
350 N HAVEN DR
TWIN FALLS, ID 833015788
Phone: (208) 904-4780
Fax: (208) 904-4832
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $297.
Total Amount is formed as General ($297) + Research ($0) + Ownership ($0) = $297.
Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($97).
Total Amount
$297
General + Research + Ownership
Payments
10
Total payment records
General Amount
$297
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
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: 2017-08-07
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 |
|---|---|---|---|---|
| I20170807000202 | I | Nurse Practitioner | ID | 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 | 275 | 128 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 50 | 22 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 32 | 29 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 14 | 12 | $0 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 14 | 13 | $0 |
Insurance plans in this area (ZIP 83301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Clinical Psychologist | ND | |
| A N E S T H E S I O L O G Y | ID | |
| - | UT | |
| Diagnostic Radiology | OR | |
| Physician Assistant | ID | |
| Family Practice | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Nurse Practitioner | ID |
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