DR. AMIE LYNN ETTERS (MD) – Family Medicine Physician, NPI 1750309514

DR. AMIE LYNN ETTERS (MD) is a healthcare provider. based in Windsor, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 110902 (MO). The NPI Number for DR. AMIE LYNN ETTERS (MD) is 1750309514

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMIE LYNN ETTERS (MD)
NPI
1750309514
Phone
(660) 647-2147
Address
100 S TEBO ST
Enumeration Date
18 July 2006
Last Update Date
17 December 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
6608908023
Graduation Year
1996 (30 years ago)
PAC ID
2365475753
Group Practice PAC ID
4688561814
Professional Enrollment ID
I20050916000327
Address ID
MO647351192CL1602XSTXX401
Telehealth
Yes
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

2,330 FAMILY PRACTICE in MO

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Provider Addresses for DR. AMIE LYNN ETTERS (MD)

  • 100, South Tebo Street, Windsor, Henry County, Missouri, 65360, United States

    WINDSOR, MO 653601161

    Phone: (660) 647-2147

    Fax: (660) 647-2160

    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 95 Open Payments records for all available years, with a total value of $1,811.

Total Amount is formed as General ($1,811) + Research ($0) + Ownership ($0) = $1,811.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($457).

Total Amount

$1,811

General + Research + Ownership

Payments

95

Total payment records

General Amount

$1,811

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2005-09-16

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
I20050916000327IFamily PracticeMOTBD

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
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit7575$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 65360)

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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: 4688561814View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Family PracticeMO
Internal MedicineMO
Emergency MedicineGA
-MO
-MO
Family PracticeMO
Nurse PractitionerKS

Reviews

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Frequently asked questions

What is the standard ID for DR. AMIE LYNN ETTERS (MD) in the U.S.?
In the U.S., DR. AMIE LYNN ETTERS (MD) is identified by NPI 1750309514.
Is DR. AMIE LYNN ETTERS (MD)'s NPI status active today?
Active status means DR. AMIE LYNN ETTERS (MD)'s NPI record is not deactivated in the public file.
What does the directory say DR. AMIE LYNN ETTERS (MD) does?
Insurance directories may phrase it differently, but here DR. AMIE LYNN ETTERS (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. AMIE LYNN ETTERS (MD) tied to Windsor, Missouri?
If you are local to Windsor, Missouri, DR. AMIE LYNN ETTERS (MD) may be relevant to your search.
Can I export DR. AMIE LYNN ETTERS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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