AMANDA SHAY TICE ACNP
NPI 1740629591
Nurse Practitioner - Acute Care in Fort Worth, TX
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
Specialties & Licenses
Other Names 1
Accepted 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 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.
Medicare Billing Reassignment
Medicare enrollment records show Amanda Tice reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 985 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TXPhysician 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.
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.
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.
FORT WORTH, TX 76102
FORT WORTH, TX 76102
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.
Which organization bills Medicare for Amanda Tice's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Tice reassigns Medicare benefits to Acclaim Physician Group, Inc (Fort Worth, 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 Amanda Tice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Tice accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and Molina Healthcare 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.
# Amanda Shay Tice, ACNP · NPI 1740629591
Acute Care physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since June 14, 2013.
## Identity
- **NPI:** 1740629591 (Entity type: Individual)
- **Enumerated:** June 14, 2013
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 703553 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 HOUSTON STREET, SUITE 200, Fort Worth, TX 76102
- **Phone:** (817) 336-0551 · **Fax:** (817) 339-3940
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Acclaim Physician Group, Inc (NPI 1780076562, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 22, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1740629591) · Data from the CMS NPPES public registry.