AMANDA LIVELY (FNP) – Family Nurse Practitioner, NPI 1982064622

AMANDA LIVELY (FNP) is a healthcare provider. based in Price, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP130221 (TX). The NPI Number for AMANDA LIVELY (FNP) is 1982064622

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA LIVELY (FNP)
NPI
1982064622
Phone
(435) 613-2200
Address
PO BOX 1437
Enumeration Date
23 February 2016
Last Update Date
17 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356132200
Graduation Year
2015 (11 years ago)
PAC ID
2365724184
Group Practice PAC ID
9335236868
Professional Enrollment ID
I20220527000553
Address ID
UT845014211PR377XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for AMANDA LIVELY (FNP)

  • PO BOX 1437

    PRICE, UT 845011437

    Phone: (435) 613-2200

    Fax: (435) 613-2201

    Type: Mailing

  • 367 N Main St

    Huntington, UT 845285512

    Phone: (435) 613-2200

    Fax: (435) 613-2201

    Type: Location

  • 345, Cypress Creek Road, Cedar Park, Williamson County, Texas, 78613, United States

    STE 104

    CEDAR PARK, TX 786134484

    Phone: (512) 346-7936

    Fax: (512) 346-7196

    Type: Mailing

  • 1907, Cypress Creek Road, Cedar Park, Williamson County, Texas, 78613, United States

    SUITE 104

    CEDAR PARK, TX 786134150

    Phone: (512) 346-7936

    Fax: (512) 346-7196

    Type: Location

  • 377 N FAIRGROUNDS RD

    PRICE, UT 845014241

    Phone: (435) 613-2200

    Fax: (435) 613-2201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $1,182.

Total Amount is formed as General ($1,182) + Research ($0) + Ownership ($0) = $1,182.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($372).

Total Amount

$1,182

General + Research + Ownership

Payments

71

Total payment records

General Amount

$1,182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2022-05-27

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
I20220527000553INurse PractitionerUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5435$0
99213Established patient office or other outpatient visit, 20-29 minutes5249$0
96372Injection of drug or substance under skin or into muscle3418$0
81003Automated urinalysis test2622$0
G0008Administration of influenza virus vaccine1818$0
View full utilization report →

Insurance plans in this area (ZIP 84501)

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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: 9335236868View full group profile
NameSpecialtyState
Family PracticeID
-UT
Clinical Social WorkerUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT
Family Practice, Obstetrics/GynecologyUT

Reviews

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Frequently asked questions

Is there an official ID for AMANDA LIVELY (FNP) in U.S. healthcare records?
The official identifier for AMANDA LIVELY (FNP) is NPI 1982064622.
Would AMANDA LIVELY (FNP) appear as active to a payer?
You can treat AMANDA LIVELY (FNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for AMANDA LIVELY (FNP)?
At a glance, AMANDA LIVELY (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is AMANDA LIVELY (FNP) located near Price?
AMANDA LIVELY (FNP) currently maps to Price, Utah in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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