Alexandra Jordan Bandy, NURSE PRACTITIONER
Individual provider Active NPI Acute Care Nurse Practitioner · Claremont, CA
NPI 1003204504 · NPPES record last updated Jan 6, 2015
Key facts
- NPI
- 1003204504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 95001677 (CA)
- Practice address
- 530 W. Bonita Ave
Claremont, CA 91711 - Phone
- (757) 784-4830
- NPI assigned
- Jan 6, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Faculty Physicians and Surgeons of Llusm
Practice addresses (Care Compare)
11370 Anderson St
B100
Loma Linda, CA 92354-3450
Phone (909) 558-2848
Hospital & facility affiliations
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150715001441 | CA | Practitioner - Nurse Practitioner | 7911210208 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95031425 | CA | MD | Women's Health Nurse Practitioner |
| 95001677 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current |
Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
Interoperability endpoints
- abandy71716@direct.llu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95001677 | CA | Yes |
Addresses
Primary practice location
530 W. Bonita Ave
Claremont, CA 91711
Mailing address
530 W. Bonita Ave
Claremont, CA 91711
Phone (757) 784-4830
Other providers in Claremont, CA
- Bijan Badihian
- Lisa Lorraine Baez
- Brad Anthony Baggarly
- Aaron Scott Baker
- Sonia Marie Ballesteros
- Lisa M. Banks-Toma
- Michael Bankuthy
- Cindy Baracchini
- Ashley Nichole Barahmani
- Barbara Chang Chiropractic Corporation
All providers in Claremont, CA · Acute Care Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.