AMY KELLAMS STINNETT (FNP) – Family Nurse Practitioner, NPI 1972593465

AMY KELLAMS STINNETT (FNP) is a healthcare provider. based in Portageville, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2001008920 (MO). The NPI Number for AMY KELLAMS STINNETT (FNP) is 1972593465

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
AMY KELLAMS STINNETT (FNP)
NPI
1972593465
Phone
(573) 379-5467
Address
204 E 3RD ST
Enumeration Date
26 October 2005
Last Update Date
1 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
2163410580
Group Practice PAC ID
3476679226
Professional Enrollment ID
I20040504001435
Address ID
MO638015021SI1102XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

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Provider Addresses for AMY KELLAMS STINNETT (FNP)

  • 204, East 3rd Street, Portageville, New Madrid County, Missouri, 63873, United States

    PORTAGEVILLE, MO 638731402

    Phone: (573) 379-5467

    Fax: (573) 379-5671

    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 25 Open Payments records for all available years, with a total value of $468.

Total Amount is formed as General ($468) + Research ($0) + Ownership ($0) = $468.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novo Nordisk Inc ($114).

Total Amount

$468

General + Research + Ownership

Payments

25

Total payment records

General Amount

$468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2004-05-04

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
I20040504001435INurse PractitionerMOTBD

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 63873)

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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: 3476679226View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Neurosurgery, Pain ManagementMO
Nurse PractitionerMO
Nurse PractitionerOH
Nurse PractitionerMO
Orthopedic SurgeryMO
C H I R O P R A C T I CMD
Family PracticeMO
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

Does AMY KELLAMS STINNETT (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMY KELLAMS STINNETT (FNP) uses 1972593465.
Does the file indicate AMY KELLAMS STINNETT (FNP) is practicing under active NPI?
Directory data currently reports AMY KELLAMS STINNETT (FNP) as active.
What healthcare role does AMY KELLAMS STINNETT (FNP) hold?
Scheduling teams often label AMY KELLAMS STINNETT (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect AMY KELLAMS STINNETT (FNP) on a map?
Expect Portageville, Missouri as a primary anchor for AMY KELLAMS STINNETT (FNP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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