DAMIAN CHUKWUNYERENDU AMANFO – Psychiatric/Mental Health Nurse Practitioner, NPI 1053094326

DAMIAN CHUKWUNYERENDU AMANFO is a healthcare provider. based in Lowell, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2262235 (MA). The NPI Number for DAMIAN CHUKWUNYERENDU AMANFO is 1053094326

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
DAMIAN CHUKWUNYERENDU AMANFO
NPI
1053094326
Phone
(978) 328-6138
Address
106 LUNDBERG ST
Enumeration Date
11 August 2023
Last Update Date
14 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089795557
Graduation Year
2023 (3 years ago)
PAC ID
2860836178
Group Practice PAC ID
9436142429
Professional Enrollment ID
I20240214003325
Address ID
MA027402133NE226XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for DAMIAN CHUKWUNYERENDU AMANFO

  • 106 LUNDBERG ST

    LOWELL, MA 018525375

    Phone: (978) 328-6138

    Type: Mailing

  • 226 FIELD ST

    NEW BEDFORD, MA 027402133

    Phone: (508) 979-5557

    Fax: (508) 979-5955

    Type: Location

  • 106 Lundberg St

    Lowell, MA 018525375

    Phone: (978) 328-6138

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2024-02-14

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
I20240214003325INurse PractitionerMATBD

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 01852)

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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: 9436142429View full group profile
NameSpecialtyState
Nurse PractitionerMD
Mental Health CounselorMA
Clinical PsychologistMA
Clinical Social WorkerFL
Nurse PractitionerMA
Clinical Social WorkerFL
Clinical Social WorkerMA
Clinical Social WorkerMA
Mental Health CounselorMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Does DAMIAN CHUKWUNYERENDU AMANFO have a public NPI I can cite?
Public records show DAMIAN CHUKWUNYERENDU AMANFO under NPI 1053094326.
Quick check: is DAMIAN CHUKWUNYERENDU AMANFO active?
Public NPPES data shows DAMIAN CHUKWUNYERENDU AMANFO with an active NPI status right now.
How should patients interpret DAMIAN CHUKWUNYERENDU AMANFO's specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for DAMIAN CHUKWUNYERENDU AMANFO. Clinical services aligned with this taxonomy classification.
What city is tied to DAMIAN CHUKWUNYERENDU AMANFO?
The directory associates DAMIAN CHUKWUNYERENDU AMANFO with Lowell, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains DAMIAN CHUKWUNYERENDU AMANFO's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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