Individual provider Active NPI

Amanda Stevens Weavil, MD

  • Obstetrics & Gynecology Physician
  • South Lake Tahoe, CA
National Provider Identifier
1841592037
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A123236 Issued in CA
Practice address
1139 3Rd St
South Lake Tahoe, CA 96150-3465
Phone
(530) 543-5711
Fax
(530) 578-3712
NPI assigned
Nov 22, 2010
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A123236 CA Primary
Obstetrics & Gynecology Physician 207V00000X 20265 NV

Addresses

Primary practice location

1139 3Rd St
South Lake Tahoe, CA 96150-3465

Mailing address

2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5659

Other practice location 1

897 Ironwood Dr Ste 202
Minden, NV 89423-5199
Phone (775) 364-1411

Other practice location 2

1090 3rd St Ste B
South Lake Tahoe, CA 96150-3485
Phone (530) 543-5711

Other names 1

  • Amanda Lynn Stevens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140203000281 CA Practitioner - Obstetrics/Gynecology 8527297092 Reassigns benefits to 2 organizations
I20230803004165 NV Practitioner - Obstetrics/Gynecology 8527297092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Maryland School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians

Practice addresses (Care Compare)

2175 S Ave
South Lake Tahoe, CA 96150-7024
Phone (530) 543-5711

897 Ironwood Dr
Minden, NV 89423-5198
Phone (775) 364-1411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Carson Valley Medical Group Inc Obstetrics & Gynecology CurrentSince Aug 1, 2013 Accepting new patients
Barton Medical Foundation CurrentSince Jan 1, 2023 Accepting new patients
Barton Healthcare System Past Accepting new patients
Barton Healthcare System Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5659

1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2175 South Ave
South Lake Tahoe, CA 96150
Phone (530) 543-5711

897 Ironwood Dr
Minden, NV 89423
Phone (775) 364-1411

Interoperability endpoints

  • Direct secure messaging: astevens89714@direct.renown.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1841592037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 3RD ST",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503465",
            "telephone_number": "530-543-5711",
            "fax_number": "530-578-3712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "897 Ironwood Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "NV",
            "postal_code": "894235199",
            "country_code": "US",
            "telephone_number": "775-364-1411",
            "fax_number": "775-364-1412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1090 3rd St Ste B",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961503485",
            "country_code": "US",
            "telephone_number": "530-543-5711",
            "fax_number": "530-578-3712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVIL",
        "first_name": "AMANDA",
        "middle_name": "STEVENS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A123236",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "20265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "STEVENS",
            "middle_name": "LYNN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Lake Tahoe, CA

Sources for this page

Verify at the official NPI Registry.