AMY KATHRYN NYDAM (APRN) – Nurse Practitioner, NPI 1477070852
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 KATHRYN NYDAM (APRN)
117 Crossfield Dr Ste B
Versailles, KY 403831844
Phone: (859) 258-4950
Fax: (859) 258-4618
Type: Location
101 Medical Heights Dr Ste D
Frankfort, KY 406014137
Phone: (859) 258-4950
Fax: (859) 258-4618
Type: Location
201, South Broadway, Central Business District, Lexington, Fayette County, Kentucky, 40508, United States
LEXINGTON, KY 405042701
Phone: (859) 258-4950
Fax: (859) 258-4618
Type: Mailing
1221 S BROADWAY
LEXINGTON, KY 405042701
Phone: (859) 258-6200
Fax: (859) 258-6203
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 193 Open Payments records for all available years, with a total value of $3,293.
Total Amount is formed as General ($3,293) + Research ($0) + Ownership ($0) = $3,293.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,144).
Total Amount
$3,293
General + Research + Ownership
Payments
193
Total payment records
General Amount
$3,293
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-11-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171115002222 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 288 | 208 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 73 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $0 |
Insurance plans in this area (ZIP 40383)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | KY | |
| Orthopedic Surgery | KY | |
| - | KY | |
| - | KY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | KY | |
| - | KY | |
| - | KY | |
| - | KY | |
| - | KY | |
| - | KY |
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