AMELIA JANE ANDERSON-MOONEY (PH.D.) – Clinical Neuropsychologist, NPI 1780837104
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
253 CLINICAL PSYCHOLOGIST in KY
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Provider Addresses for AMELIA JANE ANDERSON-MOONEY (PH.D.)
201, Park Street, Bowling Green, Warren County, Kentucky, 42101, United States
BOWLING GREEN, KY 421011759
Phone: (270) 782-7800
Fax: (270) 843-0779
Type: Mailing
Western Kentucky Orthopaedic & Neurosurgical Associates, 165, Natchez Trace Avenue, Bowling Green, Warren County, Kentucky, 42103, United States
BOWLING GREEN, KY 421037940
Phone: (270) 782-7800
Fax: (270) 843-0779
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2012-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (954 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20121029000101 | I | Clinical Psychologist | KY | 2023-10-31 |
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.
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 |
|---|---|---|---|---|
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | 136 | 24 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 83 | 23 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 37 | 24 | $0 |
| 96116 | Exam of neurobehavioral status, first hour | 24 | 24 | $0 |
| 96121 | Exam of neurobehavioral status, each additional hour | 23 | 22 | $0 |
Insurance plans in this area (ZIP 42101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Mental Health Counselor | KY |
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