AMANDA LANE HORN (NP-C) – Family Nurse Practitioner, NPI 1538556626

AMANDA LANE HORN (NP-C) is a healthcare provider. based in Wakeman, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. COA.17112-NP (OH). The NPI Number for AMANDA LANE HORN (NP-C) is 1538556626

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA LANE HORN (NP-C)
NPI
1538556626
Phone
(440) 839-2226
Address
24 HYDE ST
Enumeration Date
16 April 2015
Last Update Date
4 October 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
4406472225
Graduation Year
2014 (12 years ago)
PAC ID
2466771936
Group Practice PAC ID
5092802389
Professional Enrollment ID
I20150505000944
Address ID
OH440908948WE840XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for AMANDA LANE HORN (NP-C)

  • 24 HYDE ST

    WAKEMAN, OH 448899301

    Phone: (440) 839-2226

    Type: Mailing

  • 840 PATRIOT DR

    WELLINGTON, OH 440908948

    Phone: (440) 647-2225

    Fax: (440) 647-5110

    Type: Location

  • 24 Hyde St

    Wakeman, OH 448899301

    Phone: (440) 839-2226

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: ABBVIE INC. ($47).

Total Amount

$172

General + Research + Ownership

Payments

8

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

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: 2015-05-05

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
I20150505000944INurse PractitionerOHTBD

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 44889)

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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: 5092802389View full group profile

Reviews

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Frequently asked questions

Is there an official ID for AMANDA LANE HORN (NP-C) in U.S. healthcare records?
The official identifier for AMANDA LANE HORN (NP-C) is NPI 1538556626.
Is there an active status for AMANDA LANE HORN (NP-C)?
For scheduling context, AMANDA LANE HORN (NP-C) is shown as active in the registry.
What kind of doctor is AMANDA LANE HORN (NP-C)?
AMANDA LANE HORN (NP-C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is AMANDA LANE HORN (NP-C) associated with Wakeman?
Public fields place AMANDA LANE HORN (NP-C) around Wakeman, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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