AMANDA L. WELCH (APRN-CNP PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1093444309

AMANDA L. WELCH (APRN-CNP PMHNP-BC) is a healthcare provider. based in Moore, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP PMHNP-BC. They hold a License No. 208180 (OK). The NPI Number for AMANDA L. WELCH (APRN-CNP PMHNP-BC) is 1093444309

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA L. WELCH (APRN-CNP PMHNP-BC)
NPI
1093444309
Phone
(405) 378-2727
Address
1105 SW 30TH CT
Enumeration Date
10 June 2022
Last Update Date
30 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055852030
Graduation Year
2022 (4 years ago)
PAC ID
7618315839
Group Practice PAC ID
4183856784
Professional Enrollment ID
I20240409000059
Address ID
OK748043131SH2508XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for AMANDA L. WELCH (APRN-CNP PMHNP-BC)

  • 1105 SW 30TH CT

    MOORE, OK 731602887

    Phone: (405) 378-2727

    Type: Location

  • 967 HONEYSUCKLE DR

    TUTTLE, OK 730894407

    Phone: (405) 905-7137

    Type: Mailing

  • 36264 EW 1190

    SEMINOLE, OK 748686622

    Phone: (405) 905-7137

    Type: Mailing

  • 2508 N HARRISON ST

    SHAWNEE, OK 748043131

    Phone: (405) 585-2030

    Fax: (405) 857-3122

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $43.

Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($24).

Total Amount

$43

General + Research + Ownership

Payments

2

Total payment records

General Amount

$43

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

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: 2024-04-09

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
I20240409000059INurse PractitionerOKTBD

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 73160)

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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: 4183856784View full group profile
NameSpecialtyState
Nurse PractitionerOK
Family PracticeOK
-OK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What unique ID ties claims to AMANDA L. WELCH (APRN-CNP PMHNP-BC)?
NPI 1093444309 is assigned to AMANDA L. WELCH (APRN-CNP PMHNP-BC) under the national enumeration system.
Is AMANDA L. WELCH (APRN-CNP PMHNP-BC) active in the national directory?
AMANDA L. WELCH (APRN-CNP PMHNP-BC)'s public NPI profile is in an active state.
Does AMANDA L. WELCH (APRN-CNP PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for AMANDA L. WELCH (APRN-CNP PMHNP-BC). Clinical services aligned with this taxonomy classification.
Where is AMANDA L. WELCH (APRN-CNP PMHNP-BC)'s primary listing?
We display Moore, Oklahoma because that is what the record indicates for AMANDA L. WELCH (APRN-CNP PMHNP-BC).
How can I contact AMANDA L. WELCH (APRN-CNP PMHNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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