DR. AMANDA RAE HANEY (DO) – Obstetrics & Gynecology Physician, NPI 1467983858
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
480 OBSTETRICS/GYNECOLOGY in OK
Provider Addresses for DR. AMANDA RAE HANEY (DO)
900 17th St
Woodward, OK 738012448
Phone: (580) 256-5511
Type: Location
650 Joel Dr
Fort Campbell, KY 422235318
Phone: (270) 798-8727
Type: Location
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 968595001
Phone: (808) 433-1815
Type: Mailing
650 JOEL DR
FORT CAMPBELL, KY 422235318
Phone: (270) 798-8727
Type: Mailing
500 NORTHCREST DRIVE
SUITE 520
SPRINGFIELD, TN 37172
Phone: (615) 219-6190
Type: Location
1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 968595001
Phone: (808) 433-1815
Type: Location
3288 Moanalua Rd
Honolulu, HI 968191469
Phone: (808) 265-9205
Type: Location
Kaiser Permanente Moanalua Medical Center, 3288, Moanalua Road, Moanalua Valley, Honolulu, Honolulu County, Hawaii, 96819, United States
HONOLULU, HI 968191469
Phone: (808) 265-9205
Type: Location
500 NORTHCREST DR
SUITE 520
SPRINGFIELD, TN 37172
Phone: (615) 219-6190
Fax: (833) 471-3078
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2025-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20241008003587 | I | Obstetrics/Gynecology | OK | TBD |
| I20251001004817 | I | Obstetrics/Gynecology | TN | 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 73801)
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