MS. AMANDA SUE ANDERSON (ANP, FNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1952797383

MS. AMANDA SUE ANDERSON (ANP, FNP-BC) is a healthcare provider. based in Belleville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP, FNP-BC. They hold a License No. 209.012702 (IL). The NPI Number for MS. AMANDA SUE ANDERSON (ANP, FNP-BC) is 1952797383

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMANDA SUE ANDERSON (ANP, FNP-BC)
NPI
1952797383
Phone
(618) 397-0900
Address
12 N 64TH ST
Enumeration Date
13 April 2015
Last Update Date
26 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362374200
Graduation Year
2014 (12 years ago)
PAC ID
9537478011
Group Practice PAC ID
6901188572
Professional Enrollment ID
I20220413001554
Address ID
MO630172004CH15740RDXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MS. AMANDA SUE ANDERSON (ANP, FNP-BC)

  • 12 N 64TH ST

    BELLEVILLE, IL 622233809

    Phone: (618) 397-0900

    Type: Mailing

  • 144 OAK HILL DR

    MARYVILLE, IL 620626475

    Phone: (618) 520-2159

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Optinose US, Inc. ($123).

Total Amount

$123

General + Research + Ownership

Payments

1

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Optinose US, Inc.$123
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: 2022-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20151023000747INurse PractitionerILTBD
I20220413001554INurse PractitionerMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4927$0
90792Psychiatric diagnostic evaluation with medical services2120$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2017$0
View full utilization report →

Insurance plans in this area (ZIP 62223)

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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: 6901188572View full group profile
NameSpecialtyState
Hospitalist, Internal Medicine, Internal MedicineIL
Emergency MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Physician AssistantMO
N E U R O L O G YAR
Internal MedicineMO

Reviews

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Frequently asked questions

What unique ID ties claims to MS. AMANDA SUE ANDERSON (ANP, FNP-BC)?
NPI 1952797383 is assigned to MS. AMANDA SUE ANDERSON (ANP, FNP-BC) under the national enumeration system.
Does this profile mean MS. AMANDA SUE ANDERSON (ANP, FNP-BC) is currently active?
Yes — MS. AMANDA SUE ANDERSON (ANP, FNP-BC) appears active in the national provider directory.
What field does MS. AMANDA SUE ANDERSON (ANP, FNP-BC) work in?
You can think of MS. AMANDA SUE ANDERSON (ANP, FNP-BC) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MS. AMANDA SUE ANDERSON (ANP, FNP-BC)?
We surface Belleville, Illinois for MS. AMANDA SUE ANDERSON (ANP, FNP-BC) based on available NPPES addresses.
Is MS. AMANDA SUE ANDERSON (ANP, FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1952797383. Always confirm identity and privileges with the practice and licensing boards.

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