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AMANDA STAUBLE APRN
NPI 1063768331
Nurse Practitioner - Family in Jackson, MS

Active since July 24, 2012PECOS Enrolled
71/100
CMS Quality Rating
1225 N STATE ST, JACKSON, MS 39202(601) 201-7188 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2019, Mar 23, 2019 (2 updates tracked since 2019).

About Amanda Stauble Aprn NPPES

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

AMANDA STAUBLE APRN (NPI 1063768331) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (903113) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1063768331
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA STAUBLECredential: APRN
Location Address1225 N STATE STJackson, MS 39202
Mailing Address104 Woodstock DrVicksburg, MS 39180-5747 · (601) 201-7188
Phone(601) 201-7188
Sole ProprietorNo
Enumeration DateJuly 24, 2012
Last NPPES UpdateAugust 22, 20192 updates tracked since enumeration
✔ NPI 1063768331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 903113
1225 N STATE ST, Jackson, MS 39202
Open in Google Maps ↗

Secondary Practice Location 1

Location 1501 Marshall St Ste 104Jackson, MS 39202-1663 · Phone (601) 969-6404

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Stauble Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Amanda Stauble reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mississippi Baptist Medical Center, Inc.
Same address
Neurology
1225 N STATE ST
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • 154 clinicians in this Medicare group
NPI 1467589556 (601) 968-1362
Medical Foundation Of Central Mississippi, Inc
Same address
Vascular Surgery
501 MARSHALL ST STE 100
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • 423 clinicians in this Medicare group
NPI 1952557092 (601) 948-1416
State Of Mississippi - University Of Mississippi Medical Center
0.9 mi
General Acute Care Hospital
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1154317527 (601) 984-1000
Mississippi Hma Hospitalists, LLC
4.4 mi
Hospitalist
1040 RIVER OAKS DR, SUITE 103
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 87 clinicians in this Medicare group
NPI 1245578558 (601) 933-5405
Vicksburg Clinic LLC
38 mi
Family Medicine
2100 HIGHWAY 61 N
Vicksburg, MS 39183
  • Reassigned Medicare billing, Mississippi enrollment
  • 41 clinicians in this Medicare group
NPI 1790711158 (601) 883-5000
Vicksburg Healthcare LLC
38 mi
Anesthesiology
2100 HIGHWAY 61 N
Vicksburg, MS 39183
  • Reassigned Medicare billing, Mississippi enrollment
  • 35 clinicians in this Medicare group
NPI 1629084058 (601) 883-5695

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.58
Promoting Interoperability86
Improvement Activities40
Cost58.42

Other Providers at the Same Location NPPES 20

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

HADEN DAVIS
Registered Nurse
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1044
MRS. ALLISON MITCHELL CCC-SLP
Speech-Language Pathologist
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-5003
STEPHEN PAUL EPPERSON MD
Family Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 988-5281
DR. RICHARD B FRIEDMAN MD
Radiology (Radiation Oncology)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1416
JOHN C BROOKS M.D.
Emergency Medicine (Emergency Medical Services)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 982-6001
KATHRYN B BROWN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-3070
WILLIAM FRANKLIN RAYBURN M.D.
Internal Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 988-5281
JOSHUA GRICE CAMPBELL MD
Emergency Medicine
1225 N STATE ST
JACKSON, MS 39202
Hinds County (601) 968-1000

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 Stauble's NPI number?

The NPI number for Amanda Stauble is 1063768331. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is Amanda Stauble located?

Amanda Stauble practices at 1225 N State St, Jackson, MS 39202. The listed phone number is (601) 201-7188.

What is Amanda Stauble's specialty?

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

Is Amanda Stauble enrolled in Medicare?

Yes. Amanda Stauble is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Stauble's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Stauble reassigns Medicare benefits to 6 organizations: Mississippi Baptist Medical Center, Inc. (Jackson, MS), Medical Foundation Of Central Mississippi, Inc (Jackson, MS), State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), Mississippi Hma Hospitalists, LLC (Flowood, MS), Vicksburg Clinic LLC (Vicksburg, MS) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Stauble's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Stauble accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Amanda Stauble as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Stauble was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.