Amy Jill Formby
NPI 1861062200ActiveIndividual· Registered Nurse· Birmingham, AL
Registered Nurse with Anesthesia Associates and 2 other groups, practicing in Birmingham, Alabama. Medicare paid $925.55 for services to 12 patients in 2024. Boston Scientific Corporation reported $39.59 in payments in 2024, mostly food and beverage. Lists Cullman Regional Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1861062200 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 28, 2021 |
| Last updated in NPPES | Jun 28, 2021 |
| Certified by provider | Jun 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | 1-126419 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 12 across 8 procedure codes |
| Paid by Medicare | $925.55 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Anesthesia AssociatesGadsden, AL · 60 clinicians
- Cullman Regional Anesthesia Services LLCCullman, AL · 33 clinicians
- Fort Payne Anesthesia Services LLCFort Payne, AL · 17 clinicians
Hospital affiliations
- Cullman Regional Medical CenterCullman, AL
- Dekalb Regional Medical CenterFort Payne, AL
- Northeast Alabama Regional Medical CenterAnniston, AL
Industry payments (Open Payments)
- 2024$39.59 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $39.59 | 2 |
What the 2024 payments were for
- Food and Beverage$39.59 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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