Andrea S Bakas, FNP-C, RNFA
Individual provider Active NPI Nurse Practitioner · Truckee, CA
NPI 1134469026 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1134469026
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- NP95003467 (CA)
- Practice address
- 10121 Pine Ave
Truckee, CA 96161-4856 - Phone
- (530) 587-6011
- NPI assigned
- Feb 28, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Rio Blanco County Health Service District
Practice addresses (Care Compare)
100 Pioneers Medical Ctr Dr
Meeker, CO 81641-3181
Phone (970) 878-5047
Hospital & facility affiliations
- Eastern Rio Blanco County Health Service District
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, CO
- 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 |
|---|---|---|---|---|
| I20180924001578 | CA | Practitioner - Nurse Practitioner | 4587915921 |
Reassigns benefits to 3 organizations Practice locations: Santa Monica, CA |
| I20260424003296 | CO | Practitioner - Nurse Practitioner | 4587915921 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95003467 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Saint Johns Medical Foundation | Current |
Accepting new patients | |
| Tahoe Forest Hospital District | Current |
Accepting new patients | |
| Tahoe Forest Hospital District | Current | Accepting new patients | |
| Providence Saint Johns Medical Foundation | Current |
Accepting new patients | |
| Tahoe Forest Hospital District | Current | Accepting new patients | |
| Tahoe Forest Hospital District | Current |
Accepting new patients |
Locations
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461
10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220
Interoperability endpoints
- https://epic-fhir.mercy.net/PRDFHIRAOK2/TAO/api/FHIR/R4/
- abakas552883@oc.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 601949 | CA | |
| Nurse Practitioner | 363L00000X | NP95003467 | CA | Yes |
Addresses
Primary practice location
10121 Pine Ave
Truckee, CA 96161-4856
Mailing address
PO Box 60901
Truckee, CA 96160-9001
Other practice location 1
2001 Santa Monica Blvd Ste 760W
Santa Monica, CA 90404-2102
Phone (310) 582-7474
Other practice location 2
3431 Country Club Dr
Glendale, CA 91208-1155
Phone (818) 522-7622
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abakas552883@oc.providencedirect.org |
Other providers in Truckee, CA
- Alexis Auckenthaler
- Brooks Austin
- Authentic Connections Psychotherapy, Inc.
- Jennifer Emilia Avendano
- Rebecca Josephine Baiet
- Faheem Baki
- Alida Balkin
- Tenille Bany
- Penny M Barbosa
- Brandy Barna
All providers in Truckee, CA · 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 Feb 19, 2025. 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.