AMANDA STAUBLE APRN
NPI 1063768331
Nurse Practitioner - Family in Jackson, MS
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Stauble Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
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.
JACKSON, MS 39202
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.
What insurance does Amanda Stauble accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee 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 6 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.
# Amanda Stauble, APRN · NPI 1063768331
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since July 24, 2012.
## Identity
- **NPI:** 1063768331 (Entity type: Individual)
- **Enumerated:** July 24, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 903113 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1225 N STATE ST, Jackson, MS 39202
- **Phone:** (601) 201-7188
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 22, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1063768331) · Data from the CMS NPPES public registry.