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.
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 Number
Specialization
State
Status
209016157
Psych/Mental Health
Illinois
Primary
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, IL
Acute 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.
Identifier
Type
State
Issuer
2017014688
Other
Illinois
MHFNP 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.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.