AMANDA D HORRICKS (PA-C) – Medical Physician Assistant, NPI 1073559563
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for AMANDA D HORRICKS (PA-C)
6488 CHINOOK ST
BONNERS FERRY, ID 838057515
Phone: (208) 267-8710
Type: Mailing
PO BOX 11840
WESTMINSTER, CA 926851840
Phone: (562) 809-3517
Fax: (562) 467-0937
Type: Mailing
McKenzie-Willamette Medical Center, 1460, G Street, Springfield, Lane County, Oregon, 97477, United States
SPRINGFIELD, OR 974774112
Phone: (541) 726-4400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $93.
Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($21).
Total Amount
$93
General + Research + Ownership
Payments
5
Total payment records
General Amount
$93
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $21 |
| Lundbeck LLC | $20 |
| ABBVIE INC. | $20 |
| Merck Sharp & Dohme LLC | $18 |
| Novo Nordisk Inc | $14 |
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: 2009-05-19
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 |
|---|---|---|---|---|
| I20090519000675 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NM | |
| - | ID | |
| Nurse Practitioner | ID | |
| Family Practice | ID | |
| Clinical Social Worker | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
Reviews
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