AMANDA MONROE (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083439145

AMANDA MONROE (PMHNP) is a healthcare provider. based in Fort thomas, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 4030918 (KY). The NPI Number for AMANDA MONROE (PMHNP) is 1083439145

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MONROE (PMHNP)
NPI
1083439145
Phone
(859) 638-2480
Address
112 SHERIDAN AVENUE
Enumeration Date
22 November 2024
Last Update Date
19 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5154417944
Graduation Year
2024 (2 years ago)
PAC ID
1658892534
Group Practice PAC ID
3476940024
Professional Enrollment ID
I20250307001242
Address ID
IA503093962DE699XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for AMANDA MONROE (PMHNP)

  • 112 SHERIDAN AVENUE

    BACK HOUSE

    FORT THOMAS, KY 41075

    Phone: (859) 638-2480

    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 3 Open Payments records for all available years, with a total value of $257.

Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($243).

Total Amount

$257

General + Research + Ownership

Payments

3

Total payment records

General Amount

$257

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

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: 2025-03-25

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
I20250307001242INurse PractitionerIATBD
I20250325000859INurse PractitionerKSTBD

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 41075)

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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: 3476940024View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerIA

Reviews

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Frequently asked questions

How do payers reference AMANDA MONROE (PMHNP)?
For AMANDA MONROE (PMHNP), use NPI 1083439145 as the unique 10-digit identifier.
Is AMANDA MONROE (PMHNP) shown as active in public data?
Registry records indicate AMANDA MONROE (PMHNP) maintains an active NPI.
What clinical focus is listed for AMANDA MONROE (PMHNP)?
At a glance, AMANDA MONROE (PMHNP) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Kentucky is AMANDA MONROE (PMHNP) registered?
Use Fort Thomas, Kentucky as the headline location for AMANDA MONROE (PMHNP) here.
When was this NPI issued?
Enumeration for AMANDA MONROE (PMHNP) is noted as November 22, 2024 where the registry provides it.

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