AMY C LOCKWOOD – Gerontology Nurse Practitioner, NPI 1265508477

AMY C LOCKWOOD is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP008205 (PA). The NPI Number for AMY C LOCKWOOD is 1265508477

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
AMY C LOCKWOOD
NPI
1265508477
Phone
(215) 662-6698
Address
3400 SPRUCE ST
Enumeration Date
28 November 2006
Last Update Date
24 October 2019

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
2152351600
Graduation Year
2003 (23 years ago)
PAC ID
7012013535
Group Practice PAC ID
5597743344
Professional Enrollment ID
I20070430000502
Address ID
PA191232599PH1001XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

11,469 NURSE PRACTITIONER in PA

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Provider Addresses for AMY C LOCKWOOD

  • Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States of America

    GROUND SILVERSTEIN BUILDING

    PHILADELPHIA, PA 191044206

    Phone: (215) 662-6698

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-04-30

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
I20070430000502INurse PractitionerPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes11339$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2116$0
90792Psychiatric diagnostic evaluation with medical services2020$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 5597743344View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm AMY C LOCKWOOD's NPI?
Yes. AMY C LOCKWOOD is listed with NPI 1265508477 in the public NPI dataset.
Does the file indicate AMY C LOCKWOOD is practicing under active NPI?
Directory data currently reports AMY C LOCKWOOD as active.
What is AMY C LOCKWOOD best known for clinically?
Directory data describes AMY C LOCKWOOD with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is AMY C LOCKWOOD based?
AMY C LOCKWOOD is tied to Philadelphia, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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