AMANDA ISABEL LICEA PA-C
NPI 1609110683
Physician Assistant - Medical in Austin, TX

Q: What is Amanda Licea's NPI number?

The NPI number for Amanda Licea is 1609110683. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Amanda Licea's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Licea was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 15, 2012PECOS EnrolledAccepts Medicare Assignment

89.8/100

CMS Quality Rating

608 RADAM LN, AUSTIN, TX 78745(512) 443-5988(512) 443-5055 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2021, Mar 17, 2018, Jun 30, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Amanda Isabel Licea Pa-c NPPES

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

AMANDA ISABEL LICEA PA-C (NPI 1609110683) is an individual medical provider in Austin, Texas, licensed in Texas (PA08169) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2012).

NPPES Registry Identity

NPI1609110683

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameAMANDA ISABEL LICEACredential: PA-C

Location Address608 RADAM LNAustin, TX 78745-1172

Mailing Address8240 N Mopac Expy Ste 100Austin, TX 78759-8869 · (512) 687-1950 · Fax (512) 407-9010

Phone(512) 443-5988

Fax(512) 443-5055

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2012

Enumeration DateNovember 15, 2012

Last NPPES UpdateSeptember 22, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2021

✔ NPI 1609110683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA08169

608 RADAM LN, Austin, TX 78745

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit.Insurance ›

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 Isabel Licea Pa-c 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 ID2062724628

PECOS Enrollment IDI20150710000175

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 6

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.

198 services132 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

133 services101 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

94 services66 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

73 services61 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

56 services41 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

30 services25 patients

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.

89.8/100

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

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERRIN LINDSAY DELPERDANG PT, DPT

Physical Therapist

608 RADAM LN
AUSTIN, TX 78745

Travis County (512) 443-5988

CINDY ALTONBURG DNP, APRN, FNP-C

Nurse Practitioner (Family)

608 RADAM LN
AUSTIN, TX 78745

Travis County (512) 443-5988

UROLOGY AUSTIN PLLC

Urology

608 RADAM LN
AUSTIN, TX 78745

Travis County (512) 443-5988

BETHANY KEARNS BURGE M.D.

Urology

608 RADAM LN
AUSTIN, TX 78745

Travis County (512) 443-5988

BRANDY LEA MORRISON FNP-C

Nurse Practitioner (Family)

608 RADAM LN
AUSTIN, TX 78745

Travis County (512) 443-5988

MR. EDWARD CHARLES OSTERBERG III M.D.

Urology

608 RADAM LN
AUSTIN, TX 78745

Travis County (512) 443-5988

PETER ANTHONY RUFF MD

Urology

608 RADAM LN
AUSTIN, TX 78745

Travis County (512) 443-5988

KRISTA E ORTIZ PT, DPT

Physical Therapist

608 RADAM LN
AUSTIN, TX 78745

Travis County (512) 788-9688

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 Licea's NPI number?

The NPI number for Amanda Licea is 1609110683. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Amanda Licea located?

Amanda Licea practices at 608 Radam Ln, Austin, TX 78745. The listed phone number is (512) 443-5988.

What is Amanda Licea's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amanda Licea enrolled in Medicare?

Yes. Amanda Licea 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.

What insurance does Amanda Licea accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Amanda Licea 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 Amanda Licea was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.