AMANDA MCCORMICK (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417549932

AMANDA MCCORMICK (ARNP) is a healthcare provider. based in Council bluffs, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. G162141 (IA). The NPI Number for AMANDA MCCORMICK (ARNP) is 1417549932

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MCCORMICK (ARNP)
NPI
1417549932
Phone
(712) 325-1990
Address
902 S 6TH ST
Enumeration Date
5 February 2021
Last Update Date
5 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122567511
Graduation Year
2020 (6 years ago)
PAC ID
2062828007
Group Practice PAC ID
0244243475
Professional Enrollment ID
I20210317000529
Address ID
IA515039028CO300XXBROA303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for AMANDA MCCORMICK (ARNP)

  • 902 S 6TH ST

    COUNCIL BLUFFS, IA 515016441

    Phone: (712) 325-1990

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $550.

Total Amount is formed as General ($550) + Research ($0) + Ownership ($0) = $550.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alkermes, Inc. ($210).

Total Amount

$550

General + Research + Ownership

Payments

31

Total payment records

General Amount

$550

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

Top Companies

Largest payers in this snapshot

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: 2021-03-17

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
I20210317000529INurse PractitionerIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 51501)

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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: 0244243475View full group profile

Reviews

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Frequently asked questions

What NPI should I save for AMANDA MCCORMICK (ARNP)?
Save NPI 1417549932 if you need a stable reference for AMANDA MCCORMICK (ARNP).
Is AMANDA MCCORMICK (ARNP)'s NPI currently valid?
The extract we use shows AMANDA MCCORMICK (ARNP) as active.
What field does AMANDA MCCORMICK (ARNP) work in?
You can think of AMANDA MCCORMICK (ARNP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for AMANDA MCCORMICK (ARNP)?
We surface Council Bluffs, Iowa for AMANDA MCCORMICK (ARNP) based on available NPPES addresses.
What if Council Bluffs, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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