AMANDA DAWN WILFORD (FNP-BC) – Family Nurse Practitioner, NPI 1508156506

AMANDA DAWN WILFORD (FNP-BC) is a healthcare provider. based in Kirksville, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 2000163306 (MO). The NPI Number for AMANDA DAWN WILFORD (FNP-BC) is 1508156506

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA DAWN WILFORD (FNP-BC)
NPI
1508156506
Phone
(660) 627-5757
Address
1416 CROWN DRIVE
Enumeration Date
11 April 2011
Last Update Date
6 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6602651042
Graduation Year
2011 (15 years ago)
PAC ID
3577741537
Group Practice PAC ID
1658280805
Professional Enrollment ID
I20220727001362
Address ID
MO635560000MI523345XXX500
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

7,023 NURSE PRACTITIONER in MO

Provider Addresses for AMANDA DAWN WILFORD (FNP-BC)

  • 1416 CROWN DRIVE

    KIRKSVILLE, MO 635012548

    Phone: (660) 627-5757

    Fax: (660) 627-5802

    Type: Mailing

  • 52334 BUSINESS HIGHWAY 5

    MILAN, MO 635563040

    Phone: (660) 265-1042

    Fax: (660) 265-1043

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $332.

Total Amount is formed as General ($332) + Research ($0) + Ownership ($0) = $332.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ABBVIE INC. ($144).

Total Amount

$332

General + Research + Ownership

Payments

23

Total payment records

General Amount

$332

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2022-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110623000031INurse PractitionerMOTBD
I20220727001362INurse PractitionerIATBD

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
83036Hemoglobin a1c level4227$0
View full utilization report →

Insurance plans in this area (ZIP 63501)

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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: 1658280805View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO
Nurse PractitionerKS
Nurse PractitionerMO
Registered Dietitian Or Nutrition ProfessionalMO
-MO
Family PracticeMO

Reviews

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Frequently asked questions

How is AMANDA DAWN WILFORD (FNP-BC) identified in CMS data?
CMS-hosted NPPES data lists AMANDA DAWN WILFORD (FNP-BC) with NPI 1508156506.
Is AMANDA DAWN WILFORD (FNP-BC) listed as active for patients and plans?
The listing shows AMANDA DAWN WILFORD (FNP-BC) as active in the NPI system.
What is AMANDA DAWN WILFORD (FNP-BC)'s primary classification?
Family Nurse Practitioner is the headline specialty for AMANDA DAWN WILFORD (FNP-BC) here. Clinical services aligned with this taxonomy classification.
What area does AMANDA DAWN WILFORD (FNP-BC) serve?
AMANDA DAWN WILFORD (FNP-BC)'s listing highlights Kirksville, Missouri; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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