AMY E FATHMAN (CFNP) – Nurse Practitioner, NPI 1003837352
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for AMY E FATHMAN (CFNP)
1400 GRAND AVE
NEWPORT, KY 410712570
Phone: (859) 578-5241
Fax: (859) 442-0046
Type: Location
5100 PEACE WAY
TAYLOR MILL, KY 410153506
Phone: (859) 491-2855
Fax: (859) 655-4395
Type: Location
9855 WASHINGTON TRACE RD
CALIFORNIA, KY 410078507
Phone:
Type: Mailing
400 ALTAIR PKWY STE 3100
WESTERVILLE, OH 430827653
Phone: (614) 360-9995
Fax: (844) 571-1777
Type: Location
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452632498
Phone: (859) 578-5241
Fax: (859) 442-0046
Type: Mailing
5522, Taylor Mill Road, Sunny Acres, Taylor Mill, Kenton County, Kentucky, 41015, United States
TAYLOR MILL, KY 410154604
Phone: (859) 491-2855
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $497.
Total Amount is formed as General ($497) + Research ($0) + Ownership ($0) = $497.
Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Corcept Therapeutics ($124).
Total Amount
$497
General + Research + Ownership
Payments
18
Total payment records
General Amount
$497
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corcept Therapeutics | $124 |
| Novo Nordisk Inc | $114 |
| ABBVIE INC. | $104 |
| Bayer Healthcare Pharmaceuticals Inc. | $55 |
| Astellas Pharma US Inc | $29 |
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: 2020-06-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061212000006 | I | Nurse Practitioner | OH | TBD |
| I20200601001619 | I | Nurse Practitioner | KY | 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 41071)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KY | |
| Family Practice | OH | |
| H O S P I T A L I S T | OH | |
| Family Practice | KY | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | KY | |
| - | KY | |
| Family Practice | OH | |
| - | FL | |
| Nurse Practitioner | KY |
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