AMANDA L LAVALLEE (APRN, CNP) – Neonatal Nurse Practitioner, NPI 1720148091
Neonatal Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,814 NURSE PRACTITIONER in ID
Provider Addresses for AMANDA L LAVALLEE (APRN, CNP)
1055 N Curtis Rd
Boise, ID 837061309
Phone: (208) 302-4600
Fax: (208) 302-4655
Type: Location
3917 West Rd
Los Alamos, NM 875442275
Phone: (505) 661-9228
Type: Location
530 NE GLEN OAK AVE
PEORIA, IL 616370001
Phone: (309) 655-2000
Type: Mailing
Children's Medical Center of Dallas, 1935, Medical District Drive, Dallas, TX, Dallas, Dallas County, Texas, 75235, United States
DALLAS, TX 752357701
Phone: (214) 456-7000
Fax: (214) 456-0850
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-09-19
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20240425000474 | I | Nurse Practitioner | ND | TBD |
| I20240814001825 | I | Nurse Practitioner | OH | TBD |
| I20250210003344 | I | Nurse Practitioner | ID | TBD |
| I20250217001089 | I | Nurse Practitioner | NM | TBD |
| I20250919004163 | I | Nurse Practitioner | IL | 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 83706)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.