AMANDA JO SMITH (APRN) – Family Nurse Practitioner, NPI 1144986126

AMANDA JO SMITH (APRN) is a healthcare provider. based in Cozad, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 113927 (NE). The NPI Number for AMANDA JO SMITH (APRN) is 1144986126

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA JO SMITH (APRN)
NPI
1144986126
Phone
(308) 784-3535
Address
1803 PAPIO LN
Enumeration Date
13 November 2021
Last Update Date
19 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3087842261
Graduation Year
2021 (5 years ago)
PAC ID
2961895222
Group Practice PAC ID
6507810389
Professional Enrollment ID
I20220209000433
Address ID
NE691301532CO300XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,114 NURSE PRACTITIONER in NE

Provider Addresses for AMANDA JO SMITH (APRN)

  • 1803 PAPIO LN

    COZAD, NE 691301138

    Phone: (308) 784-3535

    Fax: (308) 784-3534

    Type: Mailing

  • 8249 S 86TH ST

    LINCOLN, NE 685266009

    Phone: (760) 683-4219

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $82.

Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.

Last reported payment date: 2023-10-25 • Largest payer in this snapshot: Novo Nordisk Inc ($36).

Total Amount

$82

General + Research + Ownership

Payments

5

Total payment records

General Amount

$82

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-25

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: 2022-02-09

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
I20220209000433INurse PractitionerNETBD

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 69130)

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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: 6507810389View full group profile
NameSpecialtyState
Physician AssistantNE
Nurse PractitionerNE
Family PracticeNE
Family PracticeNE
Physician AssistantNE
Nurse PractitionerNE
Family PracticeNE

Reviews

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Frequently asked questions

Can I cross-check AMANDA JO SMITH (APRN) using NPI 1144986126?
NPI 1144986126 belongs to AMANDA JO SMITH (APRN); compare other details if you need extra assurance.
Is AMANDA JO SMITH (APRN) shown as active in public data?
Registry records indicate AMANDA JO SMITH (APRN) maintains an active NPI.
What expertise is attributed to AMANDA JO SMITH (APRN)?
AMANDA JO SMITH (APRN)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Nebraska is AMANDA JO SMITH (APRN) registered?
Use Cozad, Nebraska as the headline location for AMANDA JO SMITH (APRN) here.
When was this NPI issued?
Enumeration for AMANDA JO SMITH (APRN) is noted as November 13, 2021 where the registry provides it.

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