MRS. AMANDA RACHELE ADAMS (AG-ACNP) – Acute Care Nurse Practitioner, NPI 1144740010
Acute Care Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MRS. AMANDA RACHELE ADAMS (AG-ACNP)
405 W Grand Ave
Dayton, OH 454057538
Phone: (937) 723-3874
Fax: (937) 723-4209
Type: Location
405 W GRAND AVE
DAYTON, OH 454057538
Phone: (937) 723-3874
Fax: (937) 723-4209
Type: Mailing
3170, Kettering Boulevard, Moraine, Montgomery County, Ohio, 45439, United States
BUILDING B, 3RD FLOOR
MORAINE, OH 454391924
Phone: (937) 991-3188
Fax: (937) 223-9811
Type: Mailing
Good Samaritan Hospital, 2222, Philadelphia Drive, Upper Dayton View, Dayton, Montgomery County, Ohio, 45406, United States
DAYTON, OH 45406
Phone: (937) 734-3501
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $209.
Total Amount is formed as General ($209) + Research ($0) + Ownership ($0) = $209.
Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($209).
Total Amount
$209
General + Research + Ownership
Payments
2
Total payment records
General Amount
$209
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $209 |
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: 2017-08-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170829002453 | I | Nurse Practitioner | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 45405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Critical Care (Intensivists) | OH | |
| Nurse Practitioner | OH | |
| Pulmonary Disease | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Pulmonary Disease | OH |
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