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AMANDA M STUSSY LMSW
NPI 1710656624
Social Worker in Miami, OK

Active since September 13, 2021PECOS EnrolledAccepts Medicare Assignment
111 S TREATY RD, MIAMI, OK 74354(918) 540-1151 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amanda M Stussy Lmsw NPPES

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

AMANDA M STUSSY LMSW (NPI 1710656624) is an individual social worker in Miami, Oklahoma, licensed in Oklahoma (8489) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1710656624
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameAMANDA M STUSSYCredential: LMSW
Location Address111 S TREATY RDMiami, OK 74354-5327
Mailing Address111 S Treaty RdMiami, OK 74354-5327 · (918) 540-1151
Phone(918) 540-1151
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 13, 2021
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1710656624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OK · 8489
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
111 S TREATY RD, Miami, OK 74354
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda M Stussy Lmsw 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 ID749769461
PECOS Enrollment IDI20260211004305
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 Amanda Stussy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Lake Mental Health Center, Inc.
Same address
Mental Health (Including Community Mental Health Center)
111 S TREATY RD
Miami, OK 74354
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group
NPI 1497762520 (918) 540-1511

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

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.

NINA SHORT
Peer Specialist
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
JOHN KLENKE LPC-C
Counselor (Mental Health)
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 592-8614
BRANDON ALLAN MAPLES
Peer Specialist
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
KASEY NICOLE KING
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 260-9546
CAROLINE JONES
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
TIMOTHY HUNTER
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
KAREN LEE FEATHER
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511
TERRY DEE ANN WILSON
Case Manager/Care Coordinator
111 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-1511

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 Stussy's NPI number?

The NPI number for Amanda Stussy is 1710656624. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Amanda Stussy located?

Amanda Stussy practices at 111 S Treaty Rd, Miami, OK 74354. The listed phone number is (918) 540-1151.

What is Amanda Stussy's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Amanda Stussy enrolled in Medicare?

Yes. Amanda Stussy 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.

Which organization bills Medicare for Amanda Stussy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Stussy reassigns Medicare benefits to Grand Lake Mental Health Center, Inc. (Miami, OK). 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 Amanda Stussy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Stussy accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Oklahoma list Amanda Stussy 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 Stussy was last updated on June 28, 2022. 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.