DR. OZZIE AMENDA HAIRSTON (DNP, PMHNP-BC) – Licensed Practical Nurse, NPI 1588893978
Licensed Practical Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,268 NURSE PRACTITIONER in WA
Provider Addresses for DR. OZZIE AMENDA HAIRSTON (DNP, PMHNP-BC)
9407 NE Vancouver Mall Dr Ste 104-5683
Vancouver, WA 986626191
Phone: (281) 406-1112
Fax: (713) 583-2081
Type: Location
4111 Rose Lake Dr Ste 8922
Charlotte, NC 282172829
Phone: (281) 406-1112
Fax: (713) 583-2081
Type: Location
PO BOX 72198
COLUMBUS, OH 432078198
Phone: (281) 406-1112
Fax: (713) 583-2081
Type: Mailing
7385 STATE ROUTE 3 UNIT 460
WESTERVILLE, OH 430828654
Phone: (281) 406-1112
Fax: (713) 583-2081
Type: Location
3797, Willowswitch Lane, Columbus, Franklin County, Ohio, 43207, United States
COLUMBUS, OH 432073482
Phone: (614) 376-3139
Type: Mailing
4526 FEDERAL AVE
EVERETT, WA 982032132
Phone: (425) 349-6200
Fax: (713) 583-1431
Type: Mailing
4111 ROSE LAKE DR STE 8922
CHARLOTTE, NC 282172829
Phone: (281) 406-1112
Fax: (713) 583-2081
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $161.
Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($132).
Total Amount
$161
General + Research + Ownership
Payments
3
Total payment records
General Amount
$161
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $132 |
| Otsuka America Pharmaceutical, Inc. | $29 |
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: 2024-05-03
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 |
|---|---|---|---|---|
| I20230627001072 | I | Nurse Practitioner | TX | TBD |
| I20240503001907 | I | Nurse Practitioner | NC | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 38 | 15 | $0 |
Insurance plans in this area (ZIP 98662)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | KY | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | OH | |
| P S Y C H I A T R Y | NC | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | NC | |
| P S Y C H I A T R Y | NC | |
| Nurse Practitioner | LA |
Reviews
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