AMANDA ELAINE LANGKOP WANAT (NP) – Family Nurse Practitioner, NPI 1629835541

AMANDA ELAINE LANGKOP WANAT (NP) is a healthcare provider. based in Pottsboro, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1153289 (TX). The NPI Number for AMANDA ELAINE LANGKOP WANAT (NP) is 1629835541

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA ELAINE LANGKOP WANAT (NP)
NPI
1629835541
Phone
(972) 904-8562
Address
305 BRYANT ST
Enumeration Date
6 March 2024
Last Update Date
22 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7572765020
Graduation Year
2023 (3 years ago)
PAC ID
0941738629
Group Practice PAC ID
6901289461
Professional Enrollment ID
I20250108002848
Address ID
VA236011929NE500XXBLVD500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:2State licenses:2Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for AMANDA ELAINE LANGKOP WANAT (NP)

  • 305 BRYANT ST

    POTTSBORO, TX 750767457

    Phone: (972) 904-8562

    Type: Mailing

  • 10101 GROSVENOR PL APT 1102

    ROCKVILLE, MD 208524675

    Phone: (972) 904-8562

    Type: Location

  • 8500 Leesburg Pike Ste 500

    Tysons, VA 221822409

    Phone: (571) 731-1344

    Fax: (517) 586-2183

    Type: Location

  • 5049 7TH RD S APT 202

    ARLINGTON, VA 222042521

    Phone: (972) 904-8562

    Type: Mailing

  • 16712 JEFFERSON DAVIS HWY

    DUMFRIES, VA 220262115

    Phone: (703) 221-7467

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $1,514.

Total Amount is formed as General ($1,514) + Research ($0) + Ownership ($0) = $1,514.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Lilly USA, LLC ($301).

Total Amount

$1,514

General + Research + Ownership

Payments

46

Total payment records

General Amount

$1,514

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2025-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250108002848INurse PractitionerVATBD
I20250411001629INurse PractitionerDCTBD

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 75076)

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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: 6901289461View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerMD
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

How do payers reference AMANDA ELAINE LANGKOP WANAT (NP)?
For AMANDA ELAINE LANGKOP WANAT (NP), use NPI 1629835541 as the unique 10-digit identifier.
Would AMANDA ELAINE LANGKOP WANAT (NP) appear as active to a payer?
You can treat AMANDA ELAINE LANGKOP WANAT (NP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe AMANDA ELAINE LANGKOP WANAT (NP)'s focus?
For AMANDA ELAINE LANGKOP WANAT (NP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is AMANDA ELAINE LANGKOP WANAT (NP) registered?
Use Pottsboro, Texas as the headline location for AMANDA ELAINE LANGKOP WANAT (NP) here.
When was this NPI issued?
Enumeration for AMANDA ELAINE LANGKOP WANAT (NP) is noted as March 6, 2024 where the registry provides it.

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