AMY LUCKETT ENIS PMHNP
NPI 1194273565
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA
About Amy Luckett Enis Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY LUCKETT ENIS PMHNP (NPI 1194273565) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95007447) and active in the NPI registry since September 2016. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Amy Luckett Enis Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90049 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Amy Enis's NPI number?
The NPI number for Amy Enis is 1194273565. It was assigned to this individual provider in the NPPES registry on September 14, 2016.
Where is Amy Enis located?
Amy Enis practices at 12011 San Vicente Blvd Ste 305A, Los Angeles, CA 90049. The listed phone number is (747) 212-3876.
What is Amy Enis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Amy Enis enrolled in Medicare?
No. Amy Enis has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Amy Enis accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Amy Enis 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 Amy Enis was last updated on July 3, 2024. 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.
# Amy Luckett Enis, PMHNP · NPI 1194273565
Psychiatric/Mental Health physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since September 14, 2016.
## Identity
- **NPI:** 1194273565 (Entity type: Individual)
- **Enumerated:** September 14, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95007447 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12011 SAN VICENTE BLVD STE 305A, Los Angeles, CA 90049-4944
- **Phone:** (747) 212-3876
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 3, 2024
- **Other identifiers:** Medicaid 00026834 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1194273565) · Data from the CMS NPPES public registry.