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MAVIS AMEYAA MSN, APRN, FNP-C
NPI 1245632405
Nurse Practitioner - Family in Tyler, TX

Active since September 18, 2014PECOS Enrolled
821 E SE LOOP 323 STE 360, TYLER, TX 75701(614) 556-0452 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mavis Ameyaa Msn, Aprn, Fnp-c NPPES

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

MAVIS AMEYAA MSN, APRN, FNP-C (NPI 1245632405) is an individual family provider in Tyler, Texas, licensed in Ohio (APRN.CNP.0039258) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245632405
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAVIS AMEYAACredential: MSN, APRN, FNP-C
Location Address821 E SE LOOP 323 STE 360Tyler, TX 75701-9667
Mailing Address821 E Se Loop 323 Ste 360Tyler, TX 75701-9667 · (614) 556-0452
Phone(614) 556-0452
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 18, 2014
Last NPPES UpdateMay 13, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1245632405 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 OH · APRN.CNP.0039258
821 E SE LOOP 323 STE 360, Tyler, TX 75701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mavis Ameyaa Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224518188
PECOS Enrollment IDI20260218002871
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 Reassignment

Medicare enrollment records show Mavis Ameyaa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regional Physician Services Of Texas, P.A.
263 mi
Nurse Practitioner
4400 BUFFALO GAP RD FL 1
Abilene, TX 79606
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Regional Physician Services Of Texas PA
  • 396 clinicians in this Medicare group
NPI 1043529944 (877) 564-3627

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 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Mavis Ameyaa's NPI number?

The NPI number for Mavis Ameyaa is 1245632405. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Where is Mavis Ameyaa located?

Mavis Ameyaa practices at 821 E SE Loop 323 Ste 360, Tyler, TX 75701. The listed phone number is (614) 556-0452.

What is Mavis Ameyaa's specialty?

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

Is Mavis Ameyaa enrolled in Medicare?

Yes. Mavis Ameyaa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mavis Ameyaa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mavis Ameyaa reassigns Medicare benefits to Regional Physician Services Of Texas, P.A. (Abilene, TX). The 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 Mavis Ameyaa'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 Mavis Ameyaa was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.