MS. AMY NANCY JEAN BELOTT (PA-C) – Surgical Physician Assistant, NPI 1821455080
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,036 PHYSICIAN ASSISTANT in OH
Provider Addresses for MS. AMY NANCY JEAN BELOTT (PA-C)
401 N Ewing St
Lancaster, OH 431303372
Phone: (740) 681-9020
Fax: (740) 681-9112
Type: Location
618 PLEASANTVILLE RD STE 202
LANCASTER, OH 431303346
Phone: (740) 681-9020
Fax: (740) 681-9112
Type: Location
Cooper Road, Westerville, Sharon, Franklin, Ohio, 43234, United States
WESTERVILLE, OH 430818730
Phone: (614) 865-9200
Type: Location
641, Hill Road North, Pickerington, Fairfield County, Ohio, 43147, United States
SUITE A
PICKERINGTON, OH 431479346
Phone: (614) 833-0880
Fax: (614) 833-6767
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,248.
Total Amount is formed as General ($1,248) + Research ($0) + Ownership ($0) = $1,248.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,027).
Total Amount
$1,248
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,248
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 |
|---|---|
| Intuitive Surgical, Inc. | $1,027 |
| Inari Medical, Inc. | $201 |
| Smith+Nephew, Inc. | $21 |
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: 2016-02-17
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 |
|---|---|---|---|---|
| I20160217000721 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Family Practice | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| - | OH | |
| Pediatric Medicine, Internal Medicine | OH | |
| Physician Assistant | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH |
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