AMANDA NICOLE MASON (FNP) – Family Nurse Practitioner, NPI 1104365964
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
10,656 NURSE PRACTITIONER in TN
Provider Addresses for AMANDA NICOLE MASON (FNP)
353 NEW SHACKLE ISLAND RD STE 201A
HENDERSONVILLE, TN 370752382
Phone: (615) 826-1716
Type: Location
230, Stonecrest Boulevard, Smyrna, Rutherford County, Tennessee, 37167, United States
SMYRNA, TN 371676800
Phone: (615) 730-8626
Type: Mailing
185 BEVERLY RANDOLPH DR
MURFREESBORO, TN 371291895
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $320.
Total Amount is formed as General ($320) + Research ($0) + Ownership ($0) = $320.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Amgen Inc. ($120).
Total Amount
$320
General + Research + Ownership
Payments
15
Total payment records
General Amount
$320
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $120 |
| Abbott Laboratories | $44 |
| Medtronic, Inc. | $40 |
| VERTEX PHARMACEUTICALS INCORPORATED | $30 |
| Radius Health, Inc. | $19 |
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: 2018-03-26
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 |
|---|---|---|---|---|
| I20180326000035 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 183 | 110 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 99 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 37 | $0 |
| 72040 | X-ray of upper spine, 2-3 views | 25 | 24 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 19 | 12 | $0 |
Insurance plans in this area (ZIP 37075)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | IL |
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