Amanda M Mavis

FNP | Nurse Practitioner - Psych/Mental Health | 7+ years Exp

Accepts Medicare Psych/Mental Health Nurse Practitioner in Springfield, Illinois.
Amanda M Mavis is a Springfield, Illinois based nurse practitioner with 7 years of experience in Psych/Mental Health. She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Amanda M Mavis is 209016157 for Psych/Mental Health in Illinois. Her current practice location is 3225 Hedley Rd, Springfield. Patients can reach her at 217-726-7300 or can fax her at 217-726-5989. Amanda M Mavis is FNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1396269700.
Amanda M Mavis provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.

Complete Profile:
Amanda M Mavis speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Amanda M Mavis
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Female
Credentials: FNP
Experience: 7+ years
Medical School Attended:Other
Graduation Year:2017
Accepts Medicare Assignment:Yes
Practice Address:3225 Hedley Rd, Springfield,
Illinois, 62711-6248
Phone:217-726-7300
Fax:217-726-5989
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 3577839901
Enrollment ID: I20171030001890
NPI Number: 1396269700
NPI Enumeration Date: 27 Jul, 2017
NPI Last Update On: 27 Jul, 2017

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Amanda M Mavis are as mentioned below.
License NumberSpecializationStateStatus
209016157Psych/Mental Health IllinoisPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(140148)Springfield, ILAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Amanda M Mavis is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Memorial Physician Services (9032005681)176
Other Medical Identifiers:
Other legacy medical identifiers associated with Amanda M Mavis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2017014688OtherIllinoisMHFNP CERTIFICATION
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Amanda M Mavis
Po Box 3428,
Springfield, Illinois
Zip: 62708-3428
Phone Number: 800-577-5368
Fax Number: 217-757-2021
Patients can reach Amanda M Mavis at 3225 Hedley Rd, Springfield, Illinois or can call to book an appointment on 217-726-7300.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.