Amanda June Inas Mikhaeil, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

6720 Issued in MN

Practice address

14241 Grand Oaks Dr
Baxter, MN 56425-8749

Phone

(218) 316-3101

NPI assigned

Jul 18, 2019

Last updated

Jul 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Behavioral Health Hospital-Baxter

  dba CBHH Baxter

  • Psychiatric Hospital
  • Baxter, MN
  • NPI 1487715033
  Medicare reassignment NPD

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1114570298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 4TH ST NE APT 2",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564793352",
            "telephone_number": "218-296-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14241 GRAND OAKS DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258749",
            "telephone_number": "218-316-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAEIL",
        "first_name": "AMANDA",
        "middle_name": "JUNE INAS",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "6720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa J Meyer, APRN,CNP
• Selena Marie Micallef
• Kelsey Malinda Middleton, LMFT
• Midwest Family Eye Center
• Midwest Family Eye Center PA
• Reza Mathew Mikhaeil, LGSW
• Kayla Miller
• Rebecca Anne Miller
• Brooke Mimmack, MA,LPCC
• Sadie Lee Misner

• Psychiatric/Mental Health Nurse Practitioner in Baxter, MN
• Providers in Baxter, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.