AMANDA MASSEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124569553

AMANDA MASSEY (CRNA) is a healthcare provider. based in Ulysses, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 3011356 (KY). The NPI Number for AMANDA MASSEY (CRNA) is 1124569553

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MASSEY (CRNA)
NPI
1124569553
Phone
(870) 613-7304
Address
160 PIN HOOK DR
Enumeration Date
18 March 2017
Last Update Date
15 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592526612
Graduation Year
2017 (9 years ago)
PAC ID
0648548404
Group Practice PAC ID
5092627521
Professional Enrollment ID
I20170620000700
Address ID
KY405083008LE310XXLIME300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,370 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

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Provider Addresses for AMANDA MASSEY (CRNA)

  • 160 PIN HOOK DR

    ULYSSES, KY 412649008

    Phone: (870) 613-7304

    Type: Mailing

  • Jackson Purchase Medical Center, 1099, Medical Center Circle, Mayfield, Graves County, Kentucky, 42066, United States

    MAYFIELD, KY 420661159

    Phone: (270) 251-4100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($33).

Total Amount

$73

General + Research + Ownership

Payments

4

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2017-06-20

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
I20170620000700ICertified Registered Nurse Anesthetist (Crna)KYTBD

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 41264)

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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: 5092627521View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

Can I verify AMANDA MASSEY (CRNA) with an NPI only?
You can start verification with NPI 1124569553 for AMANDA MASSEY (CRNA), then check state licensing separately.
Does CMS list AMANDA MASSEY (CRNA) as active?
Yes — AMANDA MASSEY (CRNA) is active in the NPI listing used on this page.
What is AMANDA MASSEY (CRNA) best known for clinically?
Directory data describes AMANDA MASSEY (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect AMANDA MASSEY (CRNA) on a map?
Expect Ulysses, Kentucky as a primary anchor for AMANDA MASSEY (CRNA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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