AMANDA BROOKE STEVENS FNP
NPI 1063755502
Nurse Practitioner - Family in Johnson City, TN

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
121 BOONE RIDGE DR STE 1004, JOHNSON CITY, TN 37615(423) 794-5988(423) 232-8583 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, Dec 12, 2023 (2 updates tracked since 2023).

About Amanda Brooke Stevens Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA BROOKE STEVENS FNP (NPI 1063755502) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (17524) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1063755502
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA BROOKE STEVENSCredential: FNP
Location Address121 BOONE RIDGE DR STE 1004Johnson City, TN 37615-4993
Mailing AddressPo Box 632476Cincinnati, OH 45263-2476 · (423) 794-5988
Fax(423) 232-8583
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 3, 2013
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
NPI 1063755502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in TN · 17524 Licensed in VA · 0024192942
Also ListedRegistered NurseTaxonomy 163W00000X · License 149495 (TN)
121 BOONE RIDGE DR STE 1004, Johnson City, TN 37615

Secondary Practice Locations 8

Location 1400 N State Of Franklin RdJohnson City, TN 37604-6035 · Phone (423) 431-6111
Location 21 Medical Park Blvd Ste 3WBristol, TN 37620-7430 · Phone (423) 844-1121
Location 32202 N John B Dennis Hwy Ste 110Kingsport, TN 37660-5904 · Phone (423) 578-8400
Location 41 Professional Park Dr Ste 21Johnson City, TN 37604-6909 · Phone (423) 232-6900
Location 5500 Love StErwin, TN 37650-1734 · Phone (423) 735-4160 · Fax (423) 735-4159
Location 63 Professional Park Dr Ste 31Johnson City, TN 37604-6529 · Phone (423) 631-0543
Location 7390 Kane StGate City, VA 24251-2753 · Phone (276) 386-3411 · Fax (276) 386-3492
Location 8121 Boone Ridge Dr Ste 1004Johnson City, TN 37615-4993 · Phone (423) 794-5988 · Fax (423) 232-8583

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Brooke Stevens Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729385802
PECOS Enrollment IDI20160405001497, I20250429000017
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
106 services102 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
94 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
71 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
121 BOONE RIDGE DR STE 1004
JOHNSON CITY, TN 37615
Nurse Practitioner (Family)
121 BOONE RIDGE DR STE 1004
JOHNSON CITY, TN 37615
Nurse Practitioner (Family)
121 BOONE RIDGE DR STE 1004
JOHNSON CITY, TN 37615
Nurse Practitioner
121 BOONE RIDGE DR STE 1004
JOHNSON CITY, TN 37615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Stevens's NPI number?

The NPI number for Amanda Stevens is 1063755502. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Amanda Stevens located?

Amanda Stevens practices at 121 Boone Ridge Dr Ste 1004, Johnson City, TN 37615. The listed phone number is (423) 794-5988.

What is Amanda Stevens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Stevens enrolled in Medicare?

Yes. Amanda Stevens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Stevens was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.