AMANDA LEIGH LIBERTY (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104312875
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for AMANDA LEIGH LIBERTY (PMHNP)
1069 CENTRAL ST
LEOMINSTER, MA 014534805
Phone: (978) 728-4957
Fax: (978) 798-1366
Type: Mailing
277, Lost Lake Drive, Groton, Middlesex County, Massachusetts, 01450, United States
GROTON, MA 014501981
Phone: (781) 308-6223
Type: Mailing
8, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States
BOSTON, MA 021142621
Phone: (000) 000-0000
Type: Location
55 FRUIT ST
BOSTON, MA 021142621
Phone: (781) 308-6223
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $181.
Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.
Last reported payment date: 2023-06-28 • Largest payer in this snapshot: ITI, Inc. ($97).
Total Amount
$181
General + Research + Ownership
Payments
2
Total payment records
General Amount
$181
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $97 |
| ABBVIE INC. | $84 |
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: 2019-09-24
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 |
|---|---|---|---|---|
| I20190924001190 | I | Nurse Practitioner | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01453)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | ME | |
| Family Practice, Addiction Medicine | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| Physician Assistant | NC | |
| Family Practice | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Family Practice | MA | |
| Family Practice | MA |
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