AMANDA SHAY TICE ACNP
NPI 1740629591
Nurse Practitioner - Acute Care in Fort Worth, TX

Q: What is Amanda Tice's NPI number?

The NPI number for Amanda Tice is 1740629591. It was assigned to this individual provider in the NPPES registry on June 14, 2013. The provider is also known as Amanda Shay Medlin Acnp.

Q: What is Amanda Tice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Tice was last updated on December 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 14, 2013PECOS EnrolledAccepts Medicare Assignment

91.96/100

CMS Quality Rating

1000 HOUSTON STREET, SUITE 200, FORT WORTH, TX 76102(817) 336-0551(817) 339-3940 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Amanda Shay Tice Acnp NPPES

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

AMANDA SHAY TICE ACNP (NPI 1740629591) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (703553) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1740629591

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameAMANDA SHAY TICECredential: ACNP

Location Address1000 HOUSTON STREET, SUITE 200Fort Worth, TX 76102

Mailing Address1000 Houston Street, Suite 200Fort Worth, TX 76102 · (817) 336-0551 · Fax (817) 339-3940

Phone(817) 336-0551

Fax(817) 339-3940

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 14, 2013

Last NPPES UpdateDecember 22, 2015

✔ NPI 1740629591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 703553

1000 HOUSTON STREET, Fort Worth, TX 76102

Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Shay Medlin Acnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, WellPoint.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 Shay Tice Acnp 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 ID3678704129

PECOS Enrollment IDI20140326000270

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.

Hospital Affiliations CMS Care Compare

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450039

Location1500 S Main StFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76102 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

91.96/100

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

Scored as part of a group practice

Quality

89.78

Promoting Interoperability

100

Improvement Activities

Cost

56.81

Other Providers at the Same Location NPPES 3

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

DR. GERARD POCHE M.D.

Anesthesiology

1000 HOUSTON STREET, SUITE 200
FORT WORTH, TX 76102

Tarrant County (817) 336-0551

MS. MARGARET M NORSTEBON L.P.T.

Physical Therapist

1000 HOUSTON STREET, SUITE 200
FORT WORTH, TX 76102

Tarrant County (817) 336-0551

JULIE ANNE CAMPBELL CST, CSFA

Specialist/Technologist, Other (Surgical Technologist)

1000 HOUSTON STREET, SUITE 200
FORT WORTH, TX 76102

Tarrant County (817) 336-0551

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 Tice's NPI number?

The NPI number for Amanda Tice is 1740629591. It was assigned to this individual provider in the NPPES registry on June 14, 2013. The provider is also known as Amanda Shay Medlin Acnp.

Where is Amanda Tice located?

Amanda Tice practices at 1000 Houston Street Suite 200, Fort Worth, TX 76102. The listed phone number is (817) 336-0551.

What is Amanda Tice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Amanda Tice enrolled in Medicare?

Yes. Amanda Tice 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 Tice accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and WellPoint list Amanda Tice 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.

Is Amanda Tice affiliated with any hospitals?

According to CMS data, Amanda Tice is affiliated with Jps Health Network.

When was this NPI record last updated?

The NPPES record for Amanda Tice was last updated on December 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.