Amanda M. Mavis, FNP
NPI 1396269700ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Springfield, IL
Nurse Practitioner, Psych/Mental Health (FNP) with Memorial Physician Services, practicing in Springfield, Illinois. Their prescriptions cost Medicare Part D more than their services did: $217,015 for 2,098 claims, against $14,956 paid for services in 2024. Lists Memorial Medical Center as a hospital affiliation.
Overview
| NPI | 1396269700 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Jul 27, 2017 |
| Last updated in NPPES | Jul 27, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 209016157 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 92 |
|---|---|
| Services billed | 328 across 10 procedure codes |
| Paid by Medicare | $14,956 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,098 · 3,169 30-day fills |
|---|---|
| Patients | 208 |
| Total drug cost | $217,015 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Memorial Physician ServicesChatham, IL · 165 clinicians
Hospital affiliation
- Memorial Medical CenterSpringfield, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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