AMANDA N LAWRENCE (PA-C) – Physician Assistant, NPI 1295026631

AMANDA N LAWRENCE (PA-C) is a healthcare provider. based in Wildwood, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2011005771 (MO). The NPI Number for AMANDA N LAWRENCE (PA-C) is 1295026631

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA N LAWRENCE (PA-C)
NPI
1295026631
Phone
(636) 821-1661
Address
16759 MAIN ST
Enumeration Date
19 April 2011
Last Update Date
18 January 2017

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
8325217201
Group Practice PAC ID
5597094961
Professional Enrollment ID
I20160330000122
Address ID
MO637034920Ca304XXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for AMANDA N LAWRENCE (PA-C)

  • 16759 MAIN ST

    STE. 201

    WILDWOOD, MO 630401232

    Phone: (636) 821-1661

    Fax: (636) 821-1665

    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 50 Open Payments records for all available years, with a total value of $1,057.

Total Amount is formed as General ($1,057) + Research ($0) + Ownership ($0) = $1,057.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($227).

Total Amount

$1,057

General + Research + Ownership

Payments

50

Total payment records

General Amount

$1,057

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2016-03-30

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
I20160330000122IPhysician AssistantMOTBD

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
17003Destruction of precancer skin growth, 2-14 growths35171$0
99213Established patient office or other outpatient visit, 20-29 minutes154132$0
17000Destruction of precancer skin growth, 1 growth11193$0
17110Destruction of skin growth, 1-14 growths9278$0
11102Biopsy of related skin growth, first growth7167$0
View full utilization report →

Insurance plans in this area (ZIP 63040)

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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: 5597094961View full group profile
NameSpecialtyState
D E R M A T O L O G YNJ
Internal MedicineMO
Family PracticeMO
Nurse PractitionerMO
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

Does AMANDA N LAWRENCE (PA-C) have a public NPI I can cite?
Public records show AMANDA N LAWRENCE (PA-C) under NPI 1295026631.
Quick check: is AMANDA N LAWRENCE (PA-C) active?
Public NPPES data shows AMANDA N LAWRENCE (PA-C) with an active NPI status right now.
What does the directory say AMANDA N LAWRENCE (PA-C) does?
Insurance directories may phrase it differently, but here AMANDA N LAWRENCE (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to AMANDA N LAWRENCE (PA-C)?
The directory associates AMANDA N LAWRENCE (PA-C) with Wildwood, Missouri. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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