DR. AMANDA M EMERSON (DNP) – Family Nurse Practitioner, NPI 1336753094
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. AMANDA M EMERSON (DNP)
1540 S JOHN RODES BLVD
MELBOURNE, FL 329043336
Phone: (321) 280-2080
Fax: (321) 320-8820
Type: Mailing
12201 RESEARCH PKWY STE 300
ORLANDO, FL 328263265
Phone: (407) 823-2744
Type: Mailing
12201 Research Pkwy Ste 300
Orlando, FL 328263265
Phone: (407) 823-2744
Type: Location
5900 S John Young Pkwy
Orlando, FL 328393716
Phone: (407) 385-1790
Type: Location
341 Allison Dr
Palm Bay, FL 329086405
Phone: (321) 282-8499
Type: Location
1715 37TH PL
VERO BEACH, FL 329604502
Phone: (772) 794-2222
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $183.
Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.
Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Novo Nordisk Inc ($53).
Total Amount
$183
General + Research + Ownership
Payments
9
Total payment records
General Amount
$183
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-09-10
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 |
|---|---|---|---|---|
| I20210910000693 | I | Nurse Practitioner | FL | 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 32904)
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Reviews
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