AMANDA M HERMANN (RD) – Registered Dietitian, NPI 1558532895

AMANDA M HERMANN (RD) is a healthcare provider. based in Saint louis, Missouri. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD. They hold a License No. 2016019306 (MO). The NPI Number for AMANDA M HERMANN (RD) is 1558532895

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA M HERMANN (RD)
NPI
1558532895
Phone
(314) 991-5000
Address
12345 W Bend Dr Ste 105
Enumeration Date
14 March 2008
Last Update Date
8 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
3149515000
Graduation Year
2005 (21 years ago)
PAC ID
6800965625
Group Practice PAC ID
5294000485
Professional Enrollment ID
I20171215001020
Address ID
MO631418265SA621XXRDXX503
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

115 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MO

Provider Addresses for AMANDA M HERMANN (RD)

  • 12345 W Bend Dr Ste 105

    Saint Louis, MO 631282252

    Phone: (314) 991-5000

    Type: Location

  • South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    SAINT LOUIS, MO 631418265

    Phone: (314) 991-5000

    Type: Location

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: 2017-12-15

PECOS data refreshed: 2026-06-15

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
I20171215001020IRegistered Dietitian Or Nutrition ProfessionalMOTBD

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 63128)

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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: 5294000485View full group profile
NameSpecialtyState
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
Critical Care (Intensivists), Obstetrics/GynecologyKY
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 YCT
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
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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Frequently asked questions

How is AMANDA M HERMANN (RD) identified in CMS data?
CMS-hosted NPPES data lists AMANDA M HERMANN (RD) with NPI 1558532895.
Does the file indicate AMANDA M HERMANN (RD) is practicing under active NPI?
Directory data currently reports AMANDA M HERMANN (RD) as active.
What healthcare role does AMANDA M HERMANN (RD) hold?
Scheduling teams often label AMANDA M HERMANN (RD) under Registered Dietitian. Clinical services aligned with this taxonomy classification.
What address line appears for AMANDA M HERMANN (RD)?
AMANDA M HERMANN (RD)'s geographic hint is Saint Louis, Missouri in our summary view.
Is the information about AMANDA M HERMANN (RD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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