Individual provider Active NPI

Amanda Balise Bailey, NP

  • Adult Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1124570932
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
165997 Issued in AK
Practice address
3841 Piper St Ste T100
Anchorage, AK 99508-4674
Phone
(907) 561-3211
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP60833518 WA
Adult Health Nurse Practitioner 363LA2200X 165997 AK Primary

Addresses

Primary practice location

3841 Piper St Ste T100
Anchorage, AK 99508-4674

Mailing address

PO Box 200149
Anchorage, AK 99520-0149
Phone (907) 561-3211

Other practice location 1

350 Heritage Way Ste 1100
Kalispell, MT 59901-3160
Phone (406) 752-8900

Other practice location 2

350 Heritage Way Ste 1100
Kalispell, MT 59901-3160
Phone (406) 752-8900

Other practice location 3

5921 N Market St
Spokane, WA 99208-2484
Phone (509) 444-8200

Other practice location 4

1204 N Vercler Rd
Spokane Valley, WA 99216-1020
Phone (509) 228-1000

Other names 1

  • Amanda Marie Balise Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20201214000987 AK Practitioner - Nurse Practitioner 5294015996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alaska Heart InstituteGroup PAC ID 2668371469, 58 clinicians

Practice addresses (Care Compare)

3841 Piper St
Suite T100
Anchorage, AK 99508-4674
Phone (907) 561-3211

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.03
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60833518WAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Heart Institute CurrentSince Jan 17, 2021 Accepting new patients
Alaska Heart Institute CurrentSince Jan 17, 2021 Accepting new patients

Locations

2751 Debarr Rd
Ste B200
Anchorage, AK 99508

3841 Piper St
Ste T100
Anchorage, AK 99508
Phone (907) 550-2233

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124570932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200149",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995200149",
            "telephone_number": "907-561-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER ST STE T100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084674",
            "telephone_number": "907-561-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Heritage Way Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013160",
            "country_code": "US",
            "telephone_number": "406-752-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Heritage Way Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013160",
            "country_code": "US",
            "telephone_number": "406-752-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5921 N Market St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992082484",
            "country_code": "US",
            "telephone_number": "509-444-8200",
            "fax_number": "509-444-7806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1204 N Vercler Rd",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161020",
            "country_code": "US",
            "telephone_number": "509-228-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "AMANDA",
        "middle_name": "BALISE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60833518",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AK",
            "license": "165997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BALISE",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.