AMANDA R BLALOCK NP
NPI 1740681279
Nurse Practitioner - Psychiatric/Mental Health in Tyler, TX

Q: What is Amanda Blalock's NPI number?

The NPI number for Amanda Blalock is 1740681279. It was assigned to this individual provider in the NPPES registry on September 16, 2014.

Q: What is Amanda Blalock'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 Blalock was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 September 16, 2014PECOS EnrolledAccepts Medicare Assignment

1800 SHILOH RD STE 104, TYLER, TX 75703(903) 969-5125(207) 536-2445 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2025, Oct 3, 2024, Aug 15, 2022 and 2 more (5 updates tracked since 2020).

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About Amanda R Blalock Np NPPES

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

AMANDA R BLALOCK NP (NPI 1740681279) is an individual psychiatric/mental health provider in Tyler, Texas, licensed in Texas (AP144205) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740681279

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameAMANDA R BLALOCKCredential: NP

Location Address1800 SHILOH RD STE 104Tyler, TX 75703-2456

Mailing Address1800 Shiloh Rd Ste 104Tyler, TX 75703-2456 · (903) 969-5125 · Fax (207) 536-2445

Phone(903) 969-5125

Fax(207) 536-2445

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 16, 2014

Last NPPES UpdateMarch 20, 20255 updates tracked since enumeration

NPPES CertifiedMarch 20, 2025

✔ NPI 1740681279 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 TX · AP144205

1800 SHILOH RD STE 104, Tyler, TX 75703

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Other Identifiers 1

Medicaid407984001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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 R Blalock Np 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 ID4789011164

PECOS Enrollment IDI20200225000294

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 3

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.

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

131 services21 patients

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.

75 services53 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

21 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

WHISPERING PINES PSYCHIATRY PLLC

Nurse Practitioner (Psychiatric/Mental Health)

1800 SHILOH RD STE 104
TYLER, TX 75703

Smith County (903) 969-5125

WHITNEY LYNN CRESWELL LPC

Counselor (Professional)

1800 SHILOH RD STE 104
TYLER, TX 75703

Smith County (903) 251-2358

PINEY WOODS COUNSELING

Counselor (Professional)

1800 SHILOH RD STE 104
TYLER, TX 75703

Smith County (903) 251-2358

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 Blalock's NPI number?

The NPI number for Amanda Blalock is 1740681279. It was assigned to this individual provider in the NPPES registry on September 16, 2014.

Where is Amanda Blalock located?

Amanda Blalock practices at 1800 Shiloh Rd Ste 104, Tyler, TX 75703. The listed phone number is (903) 969-5125.

What is Amanda Blalock's specialty?

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

Is Amanda Blalock enrolled in Medicare?

Yes. Amanda Blalock 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 Blalock accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Amanda Blalock 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 Blalock was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.