AMANDA R SPIVEY (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1366037194
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for AMANDA R SPIVEY (PMHNP-BC)
9846 HWY 31 E
TYLER, TX 757052329
Phone: (903) 592-8001
Type: Location
2510 Shady Pines Rd
Texarkana, TX 755018876
Phone: (903) 701-6790
Type: Location
2510 SHADY PINES RD
TEXARKANA, TX 755018876
Phone:
Type: Mailing
340 S GEORGE NIGH EXPY
MCALESTER, OK 745016075
Phone: (918) 420-9854
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-06-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250123001076 | I | Nurse Practitioner | TX | TBD |
| I20250611003955 | I | Nurse Practitioner | OK | TBD |
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.
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 75705)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Internal Medicine, Pediatric Medicine | OK | |
| Hospitalist, Internal Medicine, Internal Medicine | TX | |
| Nurse Practitioner | OK | |
| - | KS | |
| Clinical Social Worker | OK | |
| Nurse Practitioner | OK |
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