AMANDA MICHELLE FLORES (PA) – Physician Assistant, NPI 1255945564
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for AMANDA MICHELLE FLORES (PA)
2040 BABCOCK RD STE 301
SAN ANTONIO, TX 782294428
Phone: (210) 858-9980
Type: Location
1201 BURTON HILL RD APT 224
FORT WORTH, TX 761144552
Phone: (210) 264-8446
Type: Mailing
1801 YOUNG ST
DALLAS, TX 75201
Phone: (214) 494-8121
Type: Location
2660 SCRIPTURE ST STE 120
DENTON, TX 762014341
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $641.
Total Amount is formed as General ($641) + Research ($0) + Ownership ($0) = $641.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($434).
Total Amount
$641
General + Research + Ownership
Payments
36
Total payment records
General Amount
$641
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $434 |
| Blueprint Medicines Corporation | $110 |
| ITI, Inc. | $31 |
| ABIOMED | $22 |
| Lundbeck LLC | $16 |
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: 2020-12-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201202001164 | I | Physician Assistant | TX | TBD |
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.
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 78229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| - | TX | |
| - | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| P S Y C H I A T R Y | TX | |
| Physician Assistant | TX | |
| - | TX |
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