AMANDA GAIL HENRY (APRN-CNS) – Gerontology Nurse Practitioner, NPI 1174202485
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for AMANDA GAIL HENRY (APRN-CNS)
5005 RYAN DR
OKLAHOMA CITY, OK 731354203
Phone: (405) 290-8652
Type: Mailing
825 NE 10TH ST STE 5B
OKLAHOMA CITY, OK 731045417
Phone: (405) 271-3635
Fax: (405) 271-2523
Type: Location
901 N Porter Ave
Norman, OK 730716404
Phone: (405) 307-3863
Fax: (405) 307-3841
Type: Location
PO BOX 776084
CHICAGO, IL 606776084
Phone: (405) 290-8652
Type: Mailing
4120 W MEMORIAL RD STE 300
OKLAHOMA CITY, OK 731209322
Phone: (405) 302-2661
Fax: (405) 302-2670
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $648.
Total Amount is formed as General ($648) + Research ($0) + Ownership ($0) = $648.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($134).
Total Amount
$648
General + Research + Ownership
Payments
28
Total payment records
General Amount
$648
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $134 |
| ARGENX US, INC. | $99 |
| ACADIA Pharmaceuticals Inc | $88 |
| Teva Pharmaceuticals USA, Inc. | $78 |
| Lundbeck LLC | $41 |
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: 2023-10-24
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 |
|---|---|---|---|---|
| I20231024003349 | I | Nurse Practitioner | OK | 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 73135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OK | |
| O P H T H A L M O L O G Y | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| R H E U M A T O L O G Y | OK | |
| Nurse Practitioner | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Family Practice, Hospitalist | OK | |
| Medical Oncology | RI | |
| Clinical Social Worker | OK |
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