AMY BELLOWS CLARK (PMHCNS-BC) – Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1194074567
Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
228 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in OH
Provider Addresses for AMY BELLOWS CLARK (PMHCNS-BC)
5151 MONROE ST
SUITE 200
TOLEDO, OH 436233462
Phone: (419) 475-4449
Type: Mailing
3909 WOODLEY RD
TOLEDO, OH 436061169
Phone: (419) 475-4449
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $198.
Total Amount is formed as General ($198) + Research ($0) + Ownership ($0) = $198.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Alkermes, Inc. ($79).
Total Amount
$198
General + Research + Ownership
Payments
11
Total payment records
General Amount
$198
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $79 |
| Takeda Pharmaceuticals U.S.A., Inc. | $31 |
| ITI, Inc. | $22 |
| Indivior Inc. | $17 |
| ABBVIE INC. | $17 |
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: 2012-11-17
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 |
|---|---|---|---|---|
| I20121117000071 | I | Certified Clinical Nurse Specialist (Cns) | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 17 | $0 |
Insurance plans in this area (ZIP 43623)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OH | |
| Clinical Social Worker | OH | |
| P S Y C H I A T R Y | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| P S Y C H I A T R Y | ID | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | OH | |
| - | KS | |
| - | OH |
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