AMANDA RANAE WYATT (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1700565876

AMANDA RANAE WYATT (PMHNP) is a healthcare provider. based in Crossville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 243030 (LA). The NPI Number for AMANDA RANAE WYATT (PMHNP) is 1700565876

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA RANAE WYATT (PMHNP)
NPI
1700565876
Phone
(931) 510-8405
Address
440 PARADISE LN
Enumeration Date
14 July 2023
Last Update Date
12 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9313645321
Graduation Year
2023 (3 years ago)
PAC ID
4284081076
Group Practice PAC ID
5395881841
Professional Enrollment ID
I20260107000641
Address ID
TN370342110CH4696XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:2State licenses:3Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for AMANDA RANAE WYATT (PMHNP)

  • 440 PARADISE LN

    CROSSVILLE, TN 385722105

    Phone: (931) 510-8405

    Type: Mailing

  • 3106 Miller Ave Ste 102

    Crossville, TN 385556217

    Phone: (931) 510-9231

    Fax: (207) 810-5946

    Type: Location

  • 280A Rees St

    Breaux Bridge, LA 705174612

    Phone: (337) 294-0701

    Type: Location

  • 1635 College Ave

    Spindale, NC 281600016

    Phone: (828) 330-9190

    Type: Location

  • 129 N Locust Ave

    Lawrenceburg, TN 384643757

    Phone: (931) 762-7232

    Fax: (931) 762-7234

    Type: Location

  • 441 E BROAD ST STE E

    COOKEVILLE, TN 385013390

    Phone: (931) 510-9231

    Fax: (207) 810-5946

    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 $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-01-23 • Largest payer in this snapshot: ABBVIE INC. ($30).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$30
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: 2026-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20231116001093INurse PractitionerTNTBD
I20251021000295INurse PractitionerLATBD
I20260107000641INurse PractitionerNCTBD

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 38572)

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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: 5395881841View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMANDA RANAE WYATT (PMHNP)?
AMANDA RANAE WYATT (PMHNP) — NPI 1700565876 — is the standard way to identify this listing.
Does CMS list AMANDA RANAE WYATT (PMHNP) as active?
Yes — AMANDA RANAE WYATT (PMHNP) is active in the NPI listing used on this page.
What taxonomy line describes AMANDA RANAE WYATT (PMHNP)?
For research purposes, treat AMANDA RANAE WYATT (PMHNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does AMANDA RANAE WYATT (PMHNP) list a practice location?
Patients near Crossville, Tennessee may find AMANDA RANAE WYATT (PMHNP) in results; validate coverage separately.
Is the information about AMANDA RANAE WYATT (PMHNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."