AMANDA GAYLE SORENSEN – Acute Care Nurse Practitioner, NPI 1114639085

AMANDA GAYLE SORENSEN is a healthcare provider. based in Corpus christi, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1103023 (TX). The NPI Number for AMANDA GAYLE SORENSEN is 1114639085

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA GAYLE SORENSEN
NPI
1114639085
Phone
(361) 549-8743
Address
9313 MOON BEAM TRL
Enumeration Date
21 December 2022
Last Update Date
22 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3618813000
Graduation Year
2022 (4 years ago)
PAC ID
1557860939
Group Practice PAC ID
7214388826
Professional Enrollment ID
I20250814002479
Address ID
TX784042235CO600XXSTXX337
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for AMANDA GAYLE SORENSEN

  • 9313 MOON BEAM TRL

    CORPUS CHRISTI, TX 784092607

    Phone: (361) 549-8743

    Type: Mailing

  • 6182 DUNBARTON OAK ST

    CORPUS CHRISTI, TX 784144275

    Phone: (361) 800-8175

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $656.

Total Amount is formed as General ($656) + Research ($0) + Ownership ($0) = $656.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($173).

Total Amount

$656

General + Research + Ownership

Payments

9

Total payment records

General Amount

$656

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2025-08-14

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
I20250814002479INurse PractitionerTXTBD

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 78409)

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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: 7214388826View full group profile
NameSpecialtyState
Internal MedicinePA
Internal MedicineMI
Internal MedicineTX
Internal MedicineTX
Family PracticeTX
Internal MedicineFL
Nurse PractitionerTX
Internal Medicine, HospitalistTX
Internal Medicine, Hospitalist, Internal MedicineVA
Physician AssistantTX

Reviews

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Frequently asked questions

How is AMANDA GAYLE SORENSEN identified in CMS data?
CMS-hosted NPPES data lists AMANDA GAYLE SORENSEN with NPI 1114639085.
Can I rely on AMANDA GAYLE SORENSEN being an active provider?
As of the registry snapshot, AMANDA GAYLE SORENSEN is marked active.
What is AMANDA GAYLE SORENSEN's primary classification?
Acute Care Nurse Practitioner is the headline specialty for AMANDA GAYLE SORENSEN here. Clinical services aligned with this taxonomy classification.
Where is AMANDA GAYLE SORENSEN based?
AMANDA GAYLE SORENSEN is tied to Corpus Christi, Texas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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