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AMANDA SISUL
NPI 1164203402
Psychiatry & Neurology - Psychiatry in Austin, TX

Active since October 12, 2023
821 W 11TH ST, AUSTIN, TX 78701(512) 952-2644(512) 668-7885 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2023, Oct 12, 2023 (2 updates tracked since 2023).

About Amanda Sisul NPPES

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

AMANDA SISUL (NPI 1164203402) is a healthcare organization registered as a psychiatry in Austin, Texas and active in the NPI registry since October 2023. The organization lists Amanda Sisul, Owner, as its authorized official.

NPPES Registry Identity

NPI1164203402
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameBLOOM WELLNESS AND PSYCHIATRY PLLC
Location Address821 W 11TH STAustin, TX 78701-2009
Mailing Address13359 N Highway 183 Ste 406-533Austin, TX 78750-7153 · (512) 952-2644 · Fax (512) 668-7885
Phone(512) 952-2644
Fax(512) 668-7885
Organization SubpartNo
Authorized OfficialAmanda SisulOwner · (512) 952-2644
Enumeration DateOctober 12, 2023
Last NPPES UpdateNovember 16, 20232 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
✔ NPI 1164203402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
821 W 11TH ST, Austin, TX 78701
Open in Google Maps ↗

Other Names 1

Doing Business AsAmanda Sisul

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Amanda Sisul, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amanda Sisul, PMHNP-BC
Nurse Practitioner
NPI 1386137461
821 W 11TH ST
Austin, TX 78701
(512) 952-2644
✔ PECOS✔ Accepts MedicareSame address

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

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 Bloom Wellness And Psychiatry PLLC's NPI number?

The NPI number for Bloom Wellness And Psychiatry PLLC is 1164203402. It was assigned to this organization in the NPPES registry on October 12, 2023. The provider is doing business as Amanda Sisul.

Where is Bloom Wellness And Psychiatry PLLC located?

Bloom Wellness And Psychiatry PLLC is located at 821 W 11th St, Austin, TX 78701. The listed phone number is (512) 952-2644.

What is Bloom Wellness And Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Bloom Wellness And Psychiatry PLLC enrolled in Medicare?

Yes. Bloom Wellness And Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bloom Wellness And Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bloom Wellness And Psychiatry PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bloom Wellness And Psychiatry PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Bloom Wellness And Psychiatry PLLC 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 Bloom Wellness And Psychiatry PLLC was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.