AMANDA KRISTIN ASHLEY COPLEY (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417685884
Psychiatric/Mental Health Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AMANDA KRISTIN ASHLEY COPLEY (APRN, PMHNP-BC)
63 N Main St
West Alexandria, OH 453811153
Phone: (937) 533-9055
Type: Location
7695 POE AVE
DAYTON, OH 454142552
Phone: (937) 247-3200
Type: Mailing
63 N MAIN ST
WEST ALEXANDRIA, OH 453811153
Phone: (937) 533-9055
Type: Mailing
525 METRO PL N STE 100
DUBLIN, OH 430175343
Phone: (855) 289-1722
Type: Location
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 $242.
Total Amount is formed as General ($242) + Research ($0) + Ownership ($0) = $242.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($89).
Total Amount
$242
General + Research + Ownership
Payments
9
Total payment records
General Amount
$242
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
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: 2022-12-14
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 |
|---|---|---|---|---|
| I20221214001115 | I | Nurse Practitioner | OH | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 755 | 203 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 209 | 207 | $0 |
| 90785 | Psychiatric services complicated by communication factor | 199 | 198 | $0 |
Insurance plans in this area (ZIP 45381)
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