AMANDA BROOKE STEVENS (FNP) – Family Nurse Practitioner, NPI 1063755502

AMANDA BROOKE STEVENS (FNP) is a healthcare provider. based in Erwin, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 149495 (TN). The NPI Number for AMANDA BROOKE STEVENS (FNP) is 1063755502

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA BROOKE STEVENS (FNP)
NPI
1063755502
Phone
(423) 735-4160
Address
500 LOVE ST
Enumeration Date
3 April 2013
Last Update Date
7 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2763863411
Graduation Year
2012 (14 years ago)
PAC ID
8729385802
Group Practice PAC ID
2466346291
Professional Enrollment ID
I20250429000017
Address ID
VA242512753GA390XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:13State licenses:3Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for AMANDA BROOKE STEVENS (FNP)

  • 500 LOVE ST

    ERWIN, TN 376501734

    Phone: (423) 735-4160

    Fax: (423) 735-4159

    Type: Mailing

  • 400 N State Of Franklin Rd

    Johnson City, TN 376046035

    Phone: (423) 431-6111

    Type: Location

  • 1 Medical Park Blvd Ste 3W

    Bristol, TN 376207430

    Phone: (423) 844-1121

    Type: Location

  • 2202 N John B Dennis Hwy Ste 110

    Kingsport, TN 376605904

    Phone: (423) 578-8400

    Type: Location

  • 1 Professional Park Dr Ste 21

    Johnson City, TN 376046909

    Phone: (423) 232-6900

    Type: Location

  • 500 Love St

    Erwin, TN 376501734

    Phone: (423) 735-4160

    Fax: (423) 735-4159

    Type: Location

  • 3 Professional Park Dr Ste 31

    Johnson City, TN 376046529

    Phone: (423) 631-0543

    Type: Location

  • 390 Kane St

    Gate City, VA 242512753

    Phone: (276) 386-3411

    Fax: (276) 386-3492

    Type: Location

  • 121 Boone Ridge Dr Ste 1004

    Johnson City, TN 376154993

    Phone: (423) 794-5988

    Fax: (423) 232-8583

    Type: Location

  • PO BOX 632476

    CINCINNATI, OH 452632476

    Phone: (423) 794-5988

    Type: Mailing

  • 121 BOONE RIDGE DR STE 1004

    JOHNSON CITY, TN 376154993

    Phone: (423) 794-5988

    Fax: (423) 232-8583

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: CALLIDITAS THERAPEUTICS US INC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160405001497INurse PractitionerTNTBD
I20250429000017INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13380$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes114109$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10869$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 37650)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466346291View full group profile

Reviews

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Frequently asked questions

What is the standard ID for AMANDA BROOKE STEVENS (FNP) in the U.S.?
In the U.S., AMANDA BROOKE STEVENS (FNP) is identified by NPI 1063755502.
Should I treat AMANDA BROOKE STEVENS (FNP) as an active provider?
Patients and plans typically see AMANDA BROOKE STEVENS (FNP) as active in the national extract.
What does the directory say AMANDA BROOKE STEVENS (FNP) does?
Insurance directories may phrase it differently, but here AMANDA BROOKE STEVENS (FNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to AMANDA BROOKE STEVENS (FNP)?
AMANDA BROOKE STEVENS (FNP) is associated with Erwin, Tennessee in the same public data insurers reference.
Why is information missing for AMANDA BROOKE STEVENS (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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