AMANDA HUMISTON (MD) – Obstetrics & Gynecology Physician, NPI 1235171661

AMANDA HUMISTON (MD) is a healthcare provider. based in North kansas city, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 2006013773 (MO). The NPI Number for AMANDA HUMISTON (MD) is 1235171661

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA HUMISTON (MD)
NPI
1235171661
Phone
(816) 468-7800
Address
2790 CLAY EDWARDS DR
Enumeration Date
11 June 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
8164687800
Graduation Year
2002 (24 years ago)
PAC ID
5294739074
Group Practice PAC ID
6305748153
Professional Enrollment ID
I20060909000037
Address ID
MO641163253NO2790XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

929 OBSTETRICS/GYNECOLOGY in MO

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Provider Addresses for AMANDA HUMISTON (MD)

  • 2790, Clay Edwards Drive, North Kansas City, Clay County, Missouri, 64116, United States

    SUITE 1200

    NORTH KANSAS CITY, MO 641163276

    Phone: (816) 468-7800

    Fax: (816) 468-8531

    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)

CMS reports 5 Open Payments records for all available years, with a total value of $104.

Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Organon LLC ($34).

Total Amount

$104

General + Research + Ownership

Payments

5

Total payment records

General Amount

$104

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2006-09-09

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
I20060909000037IObstetrics/GynecologyMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3131$0
View full utilization report →

Insurance plans in this area (ZIP 64116)

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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: 6305748153View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family Practice, Osteopathic Manipulative MedicineMO
-MO
-MO
Hospitalist, Internal MedicineMO
Nurse PractitionerMO
Nurse PractitionerDE
General SurgeryMO
N E U R O L O G YMO
A N E S T H E S I O L O G YMO

Reviews

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Frequently asked questions

What federal number belongs to AMANDA HUMISTON (MD)?
The federal identifier for AMANDA HUMISTON (MD) is NPI 1235171661.
Is AMANDA HUMISTON (MD) currently active in the NPI registry?
CMS-published data lists AMANDA HUMISTON (MD) as an active registrant.
What does AMANDA HUMISTON (MD) treat or focus on?
Patients typically see AMANDA HUMISTON (MD) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does AMANDA HUMISTON (MD) practice in Missouri?
You will see North Kansas City, Missouri on file for AMANDA HUMISTON (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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