AMANDA R BLALOCK (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1740681279
Psychiatric/Mental Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for AMANDA R BLALOCK (NP)
1800 SHILOH RD STE 104
TYLER, TX 757032456
Phone: (903) 969-5125
Fax: (207) 536-2445
Type: Mailing
281 SAWYER DR
DURANGO, CO 813033409
Phone:
Type: Mailing
2323 W FRONT ST
TYLER, TX 757027747
Phone: (903) 597-1351
Fax: (903) 535-7421
Type: Location
2323 W Front St
Tyler, TX 757027747
Phone: (903) 597-1351
Fax: (903) 535-7384
Type: Location
1174 E Lennon Dr Ste C
Emory, TX 754403255
Phone: (903) 473-2652
Fax: (903) 535-7384
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 223 Open Payments records for all available years, with a total value of $4,506.
Total Amount is formed as General ($4,506) + Research ($0) + Ownership ($0) = $4,506.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($485).
Total Amount
$4,506
General + Research + Ownership
Payments
223
Total payment records
General Amount
$4,506
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $485 |
| Janssen Pharmaceuticals, Inc | $462 |
| Neurocrine BioSciences Inc. | $393 |
| Alkermes, Inc. | $366 |
| Vanda Pharmaceuticals Inc. | $344 |
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: 2020-02-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200225000294 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96372 | Injection of drug or substance under skin or into muscle | 109 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 96 | 43 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 27 | 20 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 75703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | TX | |
| P S Y C H I A T R Y | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| P S Y C H I A T R Y | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX | |
| P S Y C H I A T R Y | TX | |
| Mental Health Counselor | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX |
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