MRS. AMANDA MICHELE MULLINS (NP-C) – Nurse Practitioner, NPI 1063769719
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for MRS. AMANDA MICHELE MULLINS (NP-C)
142 HIGHLAND DR
LEBANON, VA 242664636
Phone: (276) 889-0433
Fax: (276) 889-5537
Type: Mailing
712 PROFESSIONAL PLAZA DR
GREENEVILLE, TN 377455138
Phone: (423) 820-0432
Fax: (423) 525-8795
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $640.
Total Amount is formed as General ($640) + Research ($0) + Ownership ($0) = $640.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ABBVIE INC. ($265).
Total Amount
$640
General + Research + Ownership
Payments
42
Total payment records
General Amount
$640
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $265 |
| Novo Nordisk Inc | $68 |
| Neurocrine BioSciences Inc. | $54 |
| Amgen Inc. | $40 |
| Gilead Sciences, Inc. | $37 |
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: 2025-01-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130104000352 | I | Nurse Practitioner | VA | TBD |
| I20250113003468 | I | Nurse Practitioner | TN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 31 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 28 | 14 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 23 | 20 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 24266)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | VA | 83036 | Hemoglobin A1C level | 29 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | TN | |
| Internal Medicine | VA | |
| Nurse Practitioner | TN | |
| General Practice, Addiction Medicine | NC | |
| Addiction Medicine | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | KY | |
| Emergency Medicine, General Practice, Addiction Medicine | TN |
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