AMANDA LEE KILLIAN (CNP) – Family Nurse Practitioner, NPI 1215800933

AMANDA LEE KILLIAN (CNP) is a healthcare provider. based in Gillette, Wyoming. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 57529 (WY). The NPI Number for AMANDA LEE KILLIAN (CNP) is 1215800933

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA LEE KILLIAN (CNP)
NPI
1215800933
Phone
(307) 299-7282
Address
1206 DILLON CT
Enumeration Date
29 September 2025
Last Update Date
29 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073701574
Graduation Year
2024 (2 years ago)
PAC ID
6800384447
Group Practice PAC ID
7719168491
Professional Enrollment ID
I20251024000695
Address ID
WY827185408GI2201XHWYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

596 NURSE PRACTITIONER in WY

Provider Addresses for AMANDA LEE KILLIAN (CNP)

  • 1206 DILLON CT

    GILLETTE, WY 827186561

    Phone: (307) 299-7282

    Type: Mailing

  • 2201 S DOUGLAS HWY

    GILLETTE, WY 827185407

    Phone: (307) 370-1574

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-10-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251024000695INurse PractitionerWYTBD

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 82718)

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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: 7719168491View full group profile
NameSpecialtyState
Physician AssistantWY
Nurse PractitionerCO
Nurse PractitionerWY
Physician AssistantWY
-CA
-CO
Nurse PractitionerWY
Physician AssistantCO
Physician AssistantCO
Nurse PractitionerWY

Reviews

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Frequently asked questions

How do I look up AMANDA LEE KILLIAN (CNP) by NPI?
Use NPI 1215800933 when you need to reference AMANDA LEE KILLIAN (CNP) in forms, claims, or directories.
Is AMANDA LEE KILLIAN (CNP) active in the national directory?
AMANDA LEE KILLIAN (CNP)'s public NPI profile is in an active state.
Can you summarize AMANDA LEE KILLIAN (CNP)'s specialty in plain language?
Clinically, the directory lists AMANDA LEE KILLIAN (CNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place AMANDA LEE KILLIAN (CNP)?
The snapshot lists Gillette, Wyoming for AMANDA LEE KILLIAN (CNP); download NPPES for the complete set.
Is AMANDA LEE KILLIAN (CNP) a real provider?
This page reflects official NPPES data for NPI 1215800933. Always confirm identity and privileges with the practice and licensing boards.

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