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

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: October 18, 2026.

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

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, maintains 2 additional practice locations, 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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11174 E Lennon Dr Ste CEmory, TX 75440-3255 · Phone (903) 473-2652 · Fax (903) 535-7384
Location 22323 W Front StTyler, TX 75702-7747 · Phone (903) 597-1351 · Fax (903) 535-7384

Other Identifiers 1

Medicaid407984001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare and more.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 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Blalock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Whispering Pines Psychiatry PLLC
Same address
Psychiatric/Mental Health
1800 SHILOH RD STE 104
Tyler, TX 75703
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1659179893 (903) 969-5125
Andrews Center/ Phillips
3.4 mi
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
210 W PHILLIPS ST
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Andrews Center
  • 71 clinicians in this Medicare group
NPI 1063436665 (903) 593-8861

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

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.

Which organizations bill Medicare for Amanda Blalock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Blalock reassigns Medicare benefits to 2 organizations: Whispering Pines Psychiatry PLLC (Tyler, TX) and Andrews Center/ Phillips (Tyler, TX). Each 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 Blalock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Blalock accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare and UnitedHealthcare 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 19 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.