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AMANDA HOUSTON TRENT AGACNP
NPI 1821583196
Nurse Practitioner - Acute Care in Tupelo, MS

Active since June 28, 2018PECOS EnrolledAccepts Medicare Assignment
4381 S EASON BLVD STE 203, TUPELO, MS 38801(662) 377-5199(662) 377-5301 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Houston Trent Agacnp NPPES

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

AMANDA HOUSTON TRENT AGACNP (NPI 1821583196) is an individual acute care provider in Tupelo, Mississippi, licensed in Mississippi (902537) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1821583196
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAMANDA HOUSTON TRENTCredential: AGACNP
Location Address4381 S EASON BLVD STE 203Tupelo, MS 38801-6557
Mailing Address4381 S Eason Blvd., Ste. #203Tupelo, MS 38801 · (662) 377-5199 · Fax (667) 377-5301
Phone(662) 377-5199
Fax(662) 377-5301
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 28, 2018
✔ NPI 1821583196 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 MS · 902537
4381 S EASON BLVD STE 203, Tupelo, MS 38801
Open in Google Maps ↗

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 Houston Trent Agacnp 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 ID2365799053
PECOS Enrollment IDI20260129000357
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 Trent reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monogram Health Professional Services PC
164 mi
Nephrology
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
  • Reassigned Medicare billing, Mississippi enrollment
  • 72 clinicians in this Medicare group
NPI 1326655986 (615) 673-4455
Community Care Health Network LLC
172 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Kentucky and Mississippi enrollments
  • 118 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

DR. JIMMY RICKY WINDHAM II M.D.
Pain Medicine (Interventional Pain Medicine)
4381 S EASON BLVD STE 203
TUPELO, MS 38801
Lee County (662) 377-5199

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 Trent's NPI number?

The NPI number for Amanda Trent is 1821583196. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Amanda Trent located?

Amanda Trent practices at 4381 S Eason Blvd Ste 203, Tupelo, MS 38801. The listed phone number is (662) 377-5199.

What is Amanda Trent's specialty?

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

Is Amanda Trent enrolled in Medicare?

Yes. Amanda Trent 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 Trent's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Trent reassigns Medicare benefits to 2 organizations: Monogram Health Professional Services PC (Brentwood, TN) and Community Care Health Network LLC (Nashville, TN). 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 Trent's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Trent was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.