AMANDA B BAZAN (FNP) – Family Nurse Practitioner, NPI 1205334448
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
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Provider Addresses for AMANDA B BAZAN (FNP)
PO BOX 485
NEW CASTLE, IN 473620485
Phone:
Type: Mailing
Wittenbraker Avenue, New Castle, Henry County, Indiana, 47362, United States
NEW CASTLE, IN 473625000
Phone: (765) 599-3100
Fax: (765) 518-5365
Type: Location
415 E Main St
Cambridge City, IN 473271323
Phone: (765) 478-4541
Fax: (765) 478-4564
Type: Location
798 N 16th St
New Castle, IN 473624142
Phone: (765) 599-3533
Fax: (765) 521-7386
Type: Location
2200 Forest Ridge Pkwy Ste 310
New Castle, IN 473622943
Phone: (765) 599-3400
Fax: (765) 599-3426
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $794.
Total Amount is formed as General ($794) + Research ($0) + Ownership ($0) = $794.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($169).
Total Amount
$794
General + Research + Ownership
Payments
51
Total payment records
General Amount
$794
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $169 |
| Novo Nordisk Inc | $133 |
| Lilly USA, LLC | $75 |
| Takeda Pharmaceuticals U.S.A., Inc. | $63 |
| Otsuka America Pharmaceutical, Inc. | $50 |
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: 2018-04-04
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 |
|---|---|---|---|---|
| I20180404001862 | I | Nurse Practitioner | IN | 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 47362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IN | |
| Clinical Social Worker | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Psychiatry, Neurology | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN |
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