AMY NELSON (FNP-C) – Family Nurse Practitioner, NPI 1083178743
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
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Provider Addresses for AMY NELSON (FNP-C)
10th Place Southeast, West Lake Stevens, Lake Stevens, Snohomish County, Washington, 98258-8525, United States
LAKE STEVENS, WA 982586665
Phone: (206) 419-0402
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $428.
Total Amount is formed as General ($428) + Research ($0) + Ownership ($0) = $428.
Last reported payment date: 2024-07-03 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($225).
Total Amount
$428
General + Research + Ownership
Payments
5
Total payment records
General Amount
$428
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SUN PHARMACEUTICAL INDUSTRIES INC. | $225 |
| ABBVIE INC. | $172 |
| UCB, Inc. | $31 |
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: 2024-07-29
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 |
|---|---|---|---|---|
| I20240729001856 | I | Nurse Practitioner | WA | 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 98258)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Internal Medicine | IL | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | MI | |
| Family Practice | CA | |
| Internal Medicine | IA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | UT |
Reviews
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