AMIE LYNN FANNIN (APRN) – Occupational Therapy Assistant, NPI 1467635391

AMIE LYNN FANNIN (APRN) is a healthcare provider. based in Catlettsburg, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3016180 (KY). The NPI Number for AMIE LYNN FANNIN (APRN) is 1467635391

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AMIE LYNN FANNIN (APRN)
NPI
1467635391
Phone
Not provided
Address
4001 KENDELL LN
Enumeration Date
13 December 2007
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6063291770
Graduation Year
2021 (5 years ago)
PAC ID
8921499757
Group Practice PAC ID
6103968029
Professional Enrollment ID
I20220105000386
Address ID
KY411012880AS617XXSTXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

7,387 NURSE PRACTITIONER in KY

Provider Addresses for AMIE LYNN FANNIN (APRN)

  • 4001 KENDELL LN

    CATLETTSBURG, KY 411298761

    Phone:

    Type: Mailing

  • 307 Rebecca Lynn Dr

    Rush, KY 411688100

    Phone: (606) 923-8951

    Type: Location

  • 613 23RD ST STE 430

    ASHLAND, KY 411012885

    Phone: (606) 408-8200

    Fax: (606) 408-6291

    Type: Location

  • 307 REBECCA LYNN DR

    RUSH, KY 411688100

    Phone: (606) 923-8951

    Type: Location

  • 247 BEACON HILL RD

    MOREHEAD, KY 403516030

    Phone: (606) 784-1115

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 131 Open Payments records for all available years, with a total value of $2,346.

Total Amount is formed as General ($2,346) + Research ($0) + Ownership ($0) = $2,346.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ABBVIE INC. ($531).

Total Amount

$2,346

General + Research + Ownership

Payments

131

Total payment records

General Amount

$2,346

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

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: 2022-01-05

PECOS data refreshed: 2026-06-15

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
I20220105000386INurse PractitionerKYTBD

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes24971$0
J1100Injection, dexamethasone sodium phosphate, 1 mg2920$0
99214Established patient office or other outpatient visit, 30-39 minutes2113$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
72114X-ray lower and sacral spine, minimum of 6 views1616$0
View full utilization report →

Insurance plans in this area (ZIP 41129)

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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: 6103968029View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YKY
A N E S T H E S I O L O G YFL
Urology, Internal MedicineKY
Nurse PractitionerKY
P S Y C H I A T R YKY
Physician AssistantKY
Nurse PractitionerKY
Psychiatry, Addiction MedicineWV
Physician AssistantOH
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

Can I use this page to confirm AMIE LYNN FANNIN (APRN)'s NPI?
Yes. AMIE LYNN FANNIN (APRN) is listed with NPI 1467635391 in the public NPI dataset.
Can I rely on AMIE LYNN FANNIN (APRN) being an active provider?
As of the registry snapshot, AMIE LYNN FANNIN (APRN) is marked active.
What is AMIE LYNN FANNIN (APRN)'s primary classification?
Occupational Therapy Assistant is the headline specialty for AMIE LYNN FANNIN (APRN) here. Clinical services aligned with this taxonomy classification.
Where is AMIE LYNN FANNIN (APRN) based?
AMIE LYNN FANNIN (APRN) is tied to Catlettsburg, Kentucky in the data we show; additional addresses may exist on the full record.
Why does AMIE LYNN FANNIN (APRN) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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