AMANDA M MAVIS FNP
NPI 1396269700
Nurse Practitioner - Psychiatric/Mental Health in Springfield, IL

Q: What is Amanda Mavis's NPI number?

The NPI number for Amanda Mavis is 1396269700. It was assigned to this individual provider in the NPPES registry on July 27, 2017.

Q: What is Amanda Mavis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Mavis was last updated on July 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 27, 2017PECOS EnrolledAccepts Medicare Assignment

72.14/100

CMS Quality Rating

3225 HEDLEY RD, SPRINGFIELD, IL 62711(217) 726-7300(217) 726-5989 Get Directions Write a Review

NPPES record last updated: July 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amanda M Mavis Fnp NPPES

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

AMANDA M MAVIS FNP (NPI 1396269700) is an individual psychiatric/mental health provider in Springfield, Illinois, licensed in Illinois (209016157) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396269700

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameAMANDA M MAVISCredential: FNP

Location Address3225 HEDLEY RDSpringfield, IL 62711-6248

Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (800) 577-5368 · Fax (217) 757-2021

Phone(217) 726-7300

Fax(217) 726-5989

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 27, 2017

✔ NPI 1396269700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209016157

3225 HEDLEY RD, Springfield, IL 62711

Open in Google Maps ↗

Other Identifiers 1

Other2017014688IL · Mhfnp Certification

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda M Mavis Fnp 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.

PECOS PAC ID3577839901

PECOS Enrollment IDI20171030001890

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

165 services77 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62711 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

72.14/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.96

Improvement Activities

Cost

53.06

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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.

MRS. DEBORAH LOUISE TAYLOR ACSW, LCSW, DCSW

Social Worker (Clinical)