AMANDA FOLSOM PMHNP
NPI 1851916837
Nurse Practitioner - Psychiatric/Mental Health in Southaven, MS

Q: What is Amanda Folsom's NPI number?

The NPI number for Amanda Folsom is 1851916837. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Q: What is Amanda Folsom'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 Folsom was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 15, 2020PECOS EnrolledAccepts Medicare Assignment

340 STATELINE RD W, SOUTHAVEN, MS 38671(662) 985-0625 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2024, Nov 14, 2023, Jun 15, 2020 (3 updates tracked since 2020).

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About Amanda Folsom Pmhnp NPPES

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

AMANDA FOLSOM PMHNP (NPI 1851916837) is an individual psychiatric/mental health provider in Southaven, Mississippi, licensed in Mississippi (903658) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851916837

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameAMANDA FOLSOMCredential: PMHNP

Location Address340 STATELINE RD WSouthaven, MS 38671-1610

Mailing Address340 Stateline Rd WSouthaven, MS 38671-1610 · (662) 985-0625

Phone(662) 985-0625

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 15, 2020

Last NPPES UpdateApril 16, 20243 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1851916837 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

Licenses✔ Licensed in MS · 903658✔ Licensed in KS · 53-83076-121✔ Licensed in CO · C-APN.0004297-C-NP✔ Licensed in TN · 30471

340 STATELINE RD W, Southaven, MS 38671

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health 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 Folsom Pmhnp 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 ID1254728629

PECOS Enrollment IDI20240507004088, I20250904004552

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

Medicare enrollment records show Amanda Folsom reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital District No 1 Crawford County

316 mi

Family Medicine

419 E WASHINGTON
Arma, KS 66712

Reassigned Medicare billing, Kansas enrollment
54 clinicians in this Medicare group

NPI 1649597147 (620) 347-4711

Eastern Iowa Health Center

490 mi

Family Medicine

947 14TH AVE SE
Cedar Rapids, IA 52401

Reassigned Medicare billing, Iowa enrollment
21 clinicians in this Medicare group

NPI 1366986135 (319) 730-7300

Keefe Memorial Health Service District

733 mi

Rural Health

615 WEST 5TH NORTH
Cheyenne Wells, CO 80810

Reassigned Medicare billing, Colorado enrollment
39 clinicians in this Medicare group

NPI 1396143574 (719) 767-5661

Kit Carson County Health Services District

739 mi

Rural Health

182 16TH ST
Burlington, CO 80807

Reassigned Medicare billing, Colorado enrollment
20 clinicians in this Medicare group

NPI 1932211596 (719) 346-9481

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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

64 services28 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

38 services16 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

25 services16 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.

15 services11 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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 17

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

CHRISTINA MARIE MCCAFFERTY

Social Worker