MRS. AMANDA DENISE POLMAN (RN, BSN, FNP) – Family Nurse Practitioner, NPI 1801595764

MRS. AMANDA DENISE POLMAN (RN, BSN, FNP) is a healthcare provider. based in Union city, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, BSN, FNP. They hold a License No. APN0000035799 (TN). The NPI Number for MRS. AMANDA DENISE POLMAN (RN, BSN, FNP) is 1801595764

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA DENISE POLMAN (RN, BSN, FNP)
NPI
1801595764
Phone
(731) 885-9687
Address
701 E REELFOOT AVE STE 100
Enumeration Date
1 March 2023
Last Update Date
18 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
4880033984
Group Practice PAC ID
6204912645
Professional Enrollment ID
I20240423001374
Address ID
TN382611912Un1430XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:3State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MRS. AMANDA DENISE POLMAN (RN, BSN, FNP)

  • 701 E REELFOOT AVE STE 100

    UNION CITY, TN 382615886

    Phone: (731) 885-9687

    Fax: (731) 885-6643

    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)

CMS reports 25 Open Payments records for all available years, with a total value of $329.

Total Amount is formed as General ($329) + Research ($0) + Ownership ($0) = $329.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($145).

Total Amount

$329

General + Research + Ownership

Payments

25

Total payment records

General Amount

$329

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2024-04-23

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
I20240423001374INurse PractitionerTNTBD

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 38261)

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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: 6204912645View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I cross-check MRS. AMANDA DENISE POLMAN (RN, BSN, FNP) using NPI 1801595764?
NPI 1801595764 belongs to MRS. AMANDA DENISE POLMAN (RN, BSN, FNP); compare other details if you need extra assurance.
Is there an active status for MRS. AMANDA DENISE POLMAN (RN, BSN, FNP)?
For scheduling context, MRS. AMANDA DENISE POLMAN (RN, BSN, FNP) is shown as active in the registry.
What area of care is associated with MRS. AMANDA DENISE POLMAN (RN, BSN, FNP)?
MRS. AMANDA DENISE POLMAN (RN, BSN, FNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. AMANDA DENISE POLMAN (RN, BSN, FNP) located near Union City?
MRS. AMANDA DENISE POLMAN (RN, BSN, FNP) currently maps to Union City, Tennessee in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.