MRS. AMANDA G PUMMILL – Family Nurse Practitioner, NPI 1801147020
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MRS. AMANDA G PUMMILL
110 N MAIN ST
DAYTON, OH 454021795
Phone:
Type: Mailing
1000 COLUMBUS AVE
LEBANON, OH 450368330
Phone: (513) 932-7951
Fax: (513) 932-9664
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $726.
Total Amount is formed as General ($726) + Research ($0) + Ownership ($0) = $726.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($350).
Total Amount
$726
General + Research + Ownership
Payments
16
Total payment records
General Amount
$726
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $350 |
| ABBVIE INC. | $208 |
| Novo Nordisk Inc | $121 |
| Lilly USA, LLC | $35 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $13 |
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: 2012-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (951 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20121008000130 | I | Nurse Practitioner | OH | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 116 | 68 | $0 |
| 99497 | Advance care planning, first 30 minutes | 22 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 16 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 14 | 14 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 45402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Physician Assistant | OH | |
| - | OH | |
| General Surgery | OH | |
| Family Practice | OH | |
| - | OH | |
| Internal Medicine, Hospitalist | PA | |
| Registered Dietitian Or Nutrition Professional | OH |
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