AMALIE VANCE
NPI 1972159010
Dentist - General Practice in Georgetown, TX
About Amalie Vance NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMALIE VANCE (NPI 1972159010) is an individual general practice provider in Georgetown, Texas, licensed in Texas (34290) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Marble Falls.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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 (PECOS)
Amalie Vance is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amalie Vance reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Georgetown, TX 78628
- Reassigned Medicare billing, Texas enrollment
- 162 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78628 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GEORGETOWN, TX 78628
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 Amalie Vance's NPI number?
The NPI number for Amalie Vance is 1972159010. It was assigned to this individual provider in the NPPES registry on August 14, 2019.
Where is Amalie Vance located?
Amalie Vance practices at 2411 Williams Dr Ste 111, Georgetown, TX 78628. The listed phone number is (877) 800-5722.
What is Amalie Vance's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Amalie Vance enrolled in Medicare?
Yes. Amalie Vance is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amalie Vance's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amalie Vance reassigns Medicare benefits to Lone Star Circle Of Care (Georgetown, 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 Amalie Vance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amalie Vance accept?
Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Cigna Healthcare and 3 other insurers list Amalie Vance 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 Amalie Vance was last updated on March 4, 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.
# Amalie Vance · NPI 1972159010
General Practice provider in Georgetown, Texas. Individual provider, active in the CMS NPPES registry since August 14, 2019.
## Identity
- **NPI:** 1972159010 (Entity type: Individual)
- **Enumerated:** August 14, 2019
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 34290 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2411 WILLIAMS DR STE 111, Georgetown, TX 78628-3268
- **Phone:** (877) 800-5722
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Lone Star Circle Of Care (NPI 1639129331, Georgetown, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972159010) · Data from the CMS NPPES public registry.