AMY IVY (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215799473

AMY IVY (NP) is a healthcare provider. based in Mansfield, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1150882 (TX). The NPI Number for AMY IVY (NP) is 1215799473

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
AMY IVY (NP)
NPI
1215799473
Phone
Not provided
Address
312 WATSON BRANCH LN APT 3325
Enumeration Date
24 January 2024
Last Update Date
8 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052592333
Graduation Year
2023 (3 years ago)
PAC ID
4082144241
Group Practice PAC ID
9234547548
Professional Enrollment ID
I20250204001611
Address ID
OK731182416OK4220XBLVD404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for AMY IVY (NP)

  • 312 WATSON BRANCH LN APT 3325

    MANSFIELD, TX 760636523

    Phone:

    Type: Mailing

  • 712 WALL ST

    NORMAN, OK 730696360

    Phone: (405) 579-7560

    Fax: (405) 579-7563

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $939.

Total Amount is formed as General ($939) + Research ($0) + Ownership ($0) = $939.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Corium, LLC ($177).

Total Amount

$939

General + Research + Ownership

Payments

39

Total payment records

General Amount

$939

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2025-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250204001611INurse PractitionerOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76063)

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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: 9234547548View full group profile
NameSpecialtyState
Physician AssistantOK
Nurse PractitionerOK
P S Y C H I A T R YOK
Physician AssistantOK
Physician AssistantTX
Physician AssistantOK

Reviews

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Frequently asked questions

What is AMY IVY (NP)'s NPI number?
AMY IVY (NP)'s NPI is 1215799473 — the number used across U.S. healthcare to identify this provider.
Would AMY IVY (NP) appear as active to a payer?
You can treat AMY IVY (NP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to AMY IVY (NP)?
AMY IVY (NP)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is AMY IVY (NP) registered?
Use Mansfield, Texas as the headline location for AMY IVY (NP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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