AMANDA WALLS – Psychiatric/Mental Health Nurse Practitioner, NPI 1851054050

AMANDA WALLS is a healthcare provider. based in Pikeville, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 30264 (TN). The NPI Number for AMANDA WALLS is 1851054050

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA WALLS
NPI
1851054050
Phone
(423) 881-3251
Address
1045 Horsehead Ln
Enumeration Date
15 October 2021
Last Update Date
18 August 2023

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8652336188
Graduation Year
2021 (5 years ago)
PAC ID
7911362058
Group Practice PAC ID
4688182918
Professional Enrollment ID
I20230425002285
Address ID
TN378013943MA718XXPKWY500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

Provider Addresses for AMANDA WALLS

  • 1045 Horsehead Ln

    Pikeville, TN 373677432

    Phone: (423) 881-3251

    Type: Location

  • 384 LANCER RD

    HARRIMAN, TN 37748

    Phone:

    Type: Mailing

  • 4726 AIRPORT HWY

    LOUISVILLE, TN 377775402

    Phone: (865) 970-7747

    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 $67.

Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.

Last reported payment date: 2024-01-22 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($47).

Total Amount

$67

General + Research + Ownership

Payments

2

Total payment records

General Amount

$67

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-04-25

PECOS data refreshed: 2026-06-15

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
I20230425002285INurse 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 37367)

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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: 4688182918View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
P S Y C H I A T R YTN

Reviews

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Frequently asked questions

What is the registry number for AMANDA WALLS?
The registry entry for AMANDA WALLS shows NPI 1851054050.
Is AMANDA WALLS's NPI status active today?
Active status means AMANDA WALLS's NPI record is not deactivated in the public file.
What type of care does AMANDA WALLS provide?
AMANDA WALLS's profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit AMANDA WALLS in Pikeville, Tennessee?
For routing, start with Pikeville, Tennessee for AMANDA WALLS, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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