AMELIA L PAULEY (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1760973424

AMELIA L PAULEY (PMHNP) is a healthcare provider. based in Sumner, Illinois. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials PMHNP. They hold a License No. 28191422A (IN). The NPI Number for AMELIA L PAULEY (PMHNP) is 1760973424

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AMELIA L PAULEY (PMHNP)
NPI
1760973424
Phone
(812) 891-3410
Address
14469 CHAUNCEY RD
Enumeration Date
29 May 2018
Last Update Date
10 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189453001
Graduation Year
2018 (8 years ago)
PAC ID
5890046999
Group Practice PAC ID
3870565732
Professional Enrollment ID
I20191016002491
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:8State licenses:3Digital endpointsOther names

Provider Addresses for AMELIA L PAULEY (PMHNP)

  • 14469 CHAUNCEY RD

    SUMNER, IL 624664306

    Phone: (812) 891-3410

    Type: Mailing

  • 410 E MACK AVE

    OLNEY, IL 624502319

    Phone: (618) 395-7421

    Type: Location

  • Carle Richland Memorial Hospital, 800, East Locust Street, Olney, Richland County, Illinois, 62450, United States

    OLNEY, IL 624502553

    Phone: (618) 395-7340

    Fax: (618) 392-3228

    Type: Mailing

  • Industry Road, Bridgeport, Lawrence County, Illinois, 62417, United States

    BRIDGEPORT, IL 624172442

    Phone: (618) 945-3001

    Fax: (618) 945-3005

    Type: Location

  • 300 S Scott Ave

    Newton, IL 624481658

    Phone: (618) 783-2309

    Type: Location

  • 900 E Scott St

    Olney, IL 624502576

    Phone: (618) 395-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $376.

Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alkermes, Inc. ($110).

Total Amount

$376

General + Research + Ownership

Payments

23

Total payment records

General Amount

$376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2019-10-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191016002491INurse PractitionerILTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes55388$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 62466)

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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: 3870565732View full group profile
NameSpecialtyState
Physician AssistantIL
-IL
-IL
Hospice/Palliative Care, Internal MedicineIL
Cardiovascular Disease (Cardiology)IL
P A T H O L O G YIL
Nurse PractitionerIL
Diagnostic RadiologyIL
-IL
Interventional RadiologyIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMELIA L PAULEY (PMHNP)?
AMELIA L PAULEY (PMHNP) — NPI 1760973424 — is the standard way to identify this listing.
Is AMELIA L PAULEY (PMHNP) listed as active for patients and plans?
The listing shows AMELIA L PAULEY (PMHNP) as active in the NPI system.
What healthcare role does AMELIA L PAULEY (PMHNP) hold?
Scheduling teams often label AMELIA L PAULEY (PMHNP) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for AMELIA L PAULEY (PMHNP)?
AMELIA L PAULEY (PMHNP)'s geographic hint is Sumner, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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