AMY A. AMPUJA (NP) – Adult Health Nurse Practitioner, NPI 1164850178

AMY A. AMPUJA (NP) is a healthcare provider. based in East falmouth, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 005565 (CT). The NPI Number for AMY A. AMPUJA (NP) is 1164850178

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
AMY A. AMPUJA (NP)
NPI
1164850178
Phone
(207) 332-9590
Address
47 EDMAR RD
Enumeration Date
30 October 2013
Last Update Date
13 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2077535400
Graduation Year
2013 (13 years ago)
PAC ID
2163651050
Group Practice PAC ID
0042101099
Professional Enrollment ID
I20220419001779
Address ID
ME042407415LE57XXXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:12State licenses:3Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for AMY A. AMPUJA (NP)

  • 47 EDMAR RD

    EAST FALMOUTH, MA 025364633

    Phone: (207) 332-9590

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-04-19

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
I20220419001779INurse PractitionerMETBD

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 02536)

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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: 0042101099View full group profile

Reviews

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Frequently asked questions

Does AMY A. AMPUJA (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMY A. AMPUJA (NP) uses 1164850178.
Can I rely on AMY A. AMPUJA (NP) being an active provider?
As of the registry snapshot, AMY A. AMPUJA (NP) is marked active.
What is AMY A. AMPUJA (NP)'s specialty?
The listing groups AMY A. AMPUJA (NP) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for AMY A. AMPUJA (NP)?
AMY A. AMPUJA (NP)'s geographic hint is East Falmouth, Massachusetts in our summary view.
Is the information about AMY A. AMPUJA (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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