AMANDA KATHLEEN DAVIS (MSN PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1891192985
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for AMANDA KATHLEEN DAVIS (MSN PMHNP-BC)
63 BAKER BLVD
FAIRLAWN, OH 443333601
Phone: (330) 572-0645
Fax: (330) 572-0645
Type: Mailing
4302 ALLEN RD STE 420
STOW, OH 442241070
Phone: (330) 865-4644
Fax: (330) 865-4641
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $2,799.
Total Amount is formed as General ($2,799) + Research ($0) + Ownership ($0) = $2,799.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($653).
Total Amount
$2,799
General + Research + Ownership
Payments
30
Total payment records
General Amount
$2,799
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $653 |
| ABBVIE INC. | $458 |
| ITI, Inc. | $410 |
| Teva Pharmaceuticals USA, Inc. | $243 |
| Janssen Pharmaceuticals, Inc | $144 |
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: 2015-02-25
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 |
|---|---|---|---|---|
| I20150225001187 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44333)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| Certified Clinical Nurse Specialist (Cns) | OH | |
| P S Y C H I A T R Y | OH |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.