AMANDA WISIAN (LPC, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1306190202
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AMANDA WISIAN (LPC, PMHNP)
1455 Dixon Ave
Lafayette, CO 800268879
Phone: (303) 443-8500
Type: Location
791 Chambers Rd
Aurora, CO 800117112
Phone: (303) 617-2300
Type: Location
8931 HURON ST
THORNTON, CO 802606806
Phone:
Type: Mailing
8181 E TUFTS AVE STE 560
DENVER, CO 802372559
Phone:
Type: Mailing
10160 W 50TH AVE UNIT 4
WHEAT RIDGE, CO 800332339
Phone: (720) 669-3470
Type: Location
1455 DIXON AVE
LAFAYETTE, CO 800268879
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $234.
Total Amount is formed as General ($234) + Research ($0) + Ownership ($0) = $234.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Novo Nordisk Inc ($108).
Total Amount
$234
General + Research + Ownership
Payments
11
Total payment records
General Amount
$234
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $108 |
| Amgen Inc. | $47 |
| ABBVIE INC. | $25 |
| Otsuka America Pharmaceutical, Inc. | $24 |
| AstraZeneca Pharmaceuticals LP | $17 |
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: 2024-01-05
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 |
|---|---|---|---|---|
| I20240105002793 | I | Nurse Practitioner | CO | 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 80026)
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