AMANDA JOHNSON (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215215009

AMANDA JOHNSON (PMHNP-BC) is a healthcare provider. based in Ashland, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 0024171804 (VA). The NPI Number for AMANDA JOHNSON (PMHNP-BC) is 1215215009

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA JOHNSON (PMHNP-BC)
NPI
1215215009
Phone
(606) 408-4000
Address
PO BOX 151
Enumeration Date
27 July 2011
Last Update Date
7 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7576649700
Graduation Year
2011 (15 years ago)
PAC ID
9436370152
Group Practice PAC ID
9133542913
Professional Enrollment ID
I20141022001772
Address ID
VA234526950VI3145XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for AMANDA JOHNSON (PMHNP-BC)

  • PO BOX 151

    ASHLAND, KY 411050151

    Phone: (606) 408-4000

    Type: Mailing

  • 3145 VIRGINIA BEACH BLVD STE 108

    VIRGINIA BEACH, VA 234526950

    Phone: (757) 664-9700

    Fax: (757) 664-9701

    Type: Mailing

  • 2201 LEXINGTON AVE

    ASHLAND, KY 411012843

    Phone: (606) 408-4000

    Type: Location

  • 2201 Lexington Ave

    Ashland, KY 411012843

    Phone: (606) 408-4000

    Type: Location

  • 100 Fairview Dr

    Franklin, VA 238511238

    Phone: (757) 516-1153

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $897.

Total Amount is formed as General ($897) + Research ($0) + Ownership ($0) = $897.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($546).

Total Amount

$897

General + Research + Ownership

Payments

22

Total payment records

General Amount

$897

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2014-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (955 days ago).

Enrollment records

1

Earliest due date

2023-10-31

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
I20141022001772INurse PractitionerVA2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13419$0
90833Psychotherapy with evaluation and management visit, 30 minutes4813$0
View full utilization report →

Insurance plans in this area (ZIP 41105)

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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: 9133542913View full group profile
NameSpecialtyState
Nurse PractitionerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

Does AMANDA JOHNSON (PMHNP-BC) have a public NPI I can cite?
Public records show AMANDA JOHNSON (PMHNP-BC) under NPI 1215215009.
Does the public listing show AMANDA JOHNSON (PMHNP-BC) as active?
AMANDA JOHNSON (PMHNP-BC)'s NPI record reflects an active status in NPPES.
What does the directory say AMANDA JOHNSON (PMHNP-BC) does?
Insurance directories may phrase it differently, but here AMANDA JOHNSON (PMHNP-BC) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is AMANDA JOHNSON (PMHNP-BC) tied to Ashland, Kentucky?
If you are local to Ashland, Kentucky, AMANDA JOHNSON (PMHNP-BC) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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