AMARA PROFFITT (NP) – Nurse Practitioner, NPI 1841012879

AMARA PROFFITT (NP) is a healthcare provider. based in Hendersonville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 37256 (TN). The NPI Number for AMARA PROFFITT (NP) is 1841012879

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
AMARA PROFFITT (NP)
NPI
1841012879
Phone
(615) 972-1100
Address
353 NEW SHACKLE ISLAND RD STE 148C
Enumeration Date
30 October 2024
Last Update Date
26 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6159721100
Graduation Year
2024 (2 years ago)
PAC ID
8022538461
Group Practice PAC ID
8628217973
Professional Enrollment ID
I20250228000138
Address ID
TN370752366HE353XXRDXX514
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for AMARA PROFFITT (NP)

  • 353 NEW SHACKLE ISLAND RD STE 148C

    HENDERSONVILLE, TN 370752366

    Phone: (615) 972-1100

    Fax: (615) 537-4950

    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: 2025-02-28

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
I20250228000138INurse 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 37075)

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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: 8628217973View full group profile
NameSpecialtyState
Nurse PractitionerTN
Physical Medicine And RehabilitationTN
-TN
Pain Management, AnesthesiologyTN
Physician AssistantTN
Physician AssistantTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMARA PROFFITT (NP)?
AMARA PROFFITT (NP) — NPI 1841012879 — is the standard way to identify this listing.
Does CMS list AMARA PROFFITT (NP) as active?
Yes — AMARA PROFFITT (NP) is active in the NPI listing used on this page.
What is AMARA PROFFITT (NP)'s primary classification?
Nurse Practitioner is the headline specialty for AMARA PROFFITT (NP) here. Clinical services aligned with this taxonomy classification.
Where should I expect AMARA PROFFITT (NP) on a map?
Expect Hendersonville, Tennessee as a primary anchor for AMARA PROFFITT (NP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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