AMANDA MAYS LACK APRN
NPI 1124532528
Nurse Practitioner - Gerontology in Seneca, SC
About Amanda Mays Lack Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA MAYS LACK APRN (NPI 1124532528) is an individual gerontology provider in Seneca, South Carolina, licensed in South Carolina (23238) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amanda Mays Lack Aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Amanda Lack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seneca, SC 29678
- Reassigned Medicare billing, South Carolina enrollment
- 86 clinicians in this Medicare group
Chicago, IL 60611
- Reassigned Medicare billing, South Carolina enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29678 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lack's NPI number?
The NPI number for Amanda Lack is 1124532528. It was assigned to this individual provider in the NPPES registry on November 21, 2017.
Where is Amanda Lack located?
Amanda Lack practices at 366 Market St, Seneca, SC 29678. The listed phone number is (864) 364-6380.
What is Amanda Lack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Amanda Lack enrolled in Medicare?
Yes. Amanda Lack 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.
Which organizations bill Medicare for Amanda Lack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Lack reassigns Medicare benefits to 2 organizations: Centerwell Senior Primary Care (sc) PC (Seneca, SC) and Integrated Rehab Consultants LLC (Chicago, IL). 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 Lack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amanda Lack was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Amanda Mays Lack, APRN · NPI 1124532528
Gerontology physician in Seneca, South Carolina. Individual provider, active in the CMS NPPES registry since November 21, 2017.
## Identity
- **NPI:** 1124532528 (Entity type: Individual)
- **Enumerated:** November 21, 2017
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 23238 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 366 MARKET ST, Seneca, SC 29678-0926
- **Phone:** (864) 364-6380 · **Fax:** (833) 853-9422
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Centerwell Senior Primary Care (sc) PC (NPI 1992262224, Seneca, SC); Integrated Rehab Consultants LLC (NPI 1528379195, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 30, 2026
- **Other identifiers:** Medicaid NP6410 (SC); Other SCG565L064 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1124532528) · Data from the CMS NPPES public registry.