AMANDA LEE TREVINO (FNP) – Family Nurse Practitioner, NPI 1710450762
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for AMANDA LEE TREVINO (FNP)
101 S Main St
Rogersville, MO 657429357
Phone: (417) 753-9404
Fax: (417) 753-9137
Type: Location
222, East Primrose Street, Springfield, Greene County, Missouri, 65807, United States
SPRINGFIELD, MO 658075233
Phone: (417) 888-0167
Type: Location
1540 E EVERGREEN ST
SPRINGFIELD, MO 658034300
Phone: (417) 823-2900
Fax: (417) 886-2774
Type: Location
3183, East Liberty Street, Liberty Place, Republic, Greene County, Missouri, 65738, United States
REPUBLIC, MO 657387826
Phone: (417) 755-6486
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $1,113.
Total Amount is formed as General ($1,113) + Research ($0) + Ownership ($0) = $1,113.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Abbott Laboratories ($201).
Total Amount
$1,113
General + Research + Ownership
Payments
76
Total payment records
General Amount
$1,113
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $201 |
| BIOTRONIK NRO, Inc. | $143 |
| Janssen Pharmaceuticals, Inc | $68 |
| Collegium Pharmaceutical, Inc. | $59 |
| Novo Nordisk Inc | $53 |
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: 2020-06-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190409000301 | I | Nurse Practitioner | MO | TBD |
| I20200620000005 | I | Nurse Practitioner | SC | TBD |
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.
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 65742)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | SC |
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