Active NPI
Andrea S Bakas, FNP-C, RNFA
- Nurse Practitioner
- Truckee, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP95003467
- Practice address
- 10121 Pine Ave
Truckee, CA 96161-4856 - Phone
- (530) 587-6011
- NPI assigned
- Feb 28, 2013
- Last updated
- Feb 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 601949 | CA | |
| Nurse Practitioner | 363L00000X | NP95003467 | CA | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abakas552883@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Pioneers Medical Ctr Dr
Meeker, CO 81641-3181
Phone (970) 878-5047
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95003467 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | 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 | |
| Tahoe Forest Hospital District | Current | Accepting new patients | |
| Providence Saint Johns Medical Foundation | Current | Accepting new patients | |
| Saint John's Health Clinic | Past | Accepting new patients | |
| Amir Vokshoor MD Med Corp a Professional Corporation | Past | Accepting new patients |
Locations
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461
10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220
Interoperability endpoints
- abakas552883@oc.providencedirect.org
- https://epic-fhir.mercy.net/PRDFHIRAOK2/TAO/api/FHIR/R4/
Organizations & group practices 9
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.
-
dba Meeker Family Health Center
- Rural Health Clinic/Center
- Meeker, CO
- NPI 1902900269
-
dba Saint John's Physician Partners
- Specialist
- Santa Monica, CA
- NPI 1770093734
-
dba Tahoe Forest Hospital
- Critical Access Hospital
- Truckee, CA
- NPI 1538265780
-
dba Tahoe Forest MultiSpecialty Clinics
- Multi-Specialty Clinic/Center
- Truckee, CA
- NPI 1750412300
-
dba One Medical
- Family Medicine Physician
- Santa Monica, CA
- NPI 1518438712
-
- Family Medicine Physician
- Truckee, CA
- NPI 1063068930
-
- Rural Health Clinic/Center
- Truckee, CA
- NPI 1760038772
-
- Neurological Surgery Physician
- Marina del Rey, CA
- NPI 1568581478
-
dba Providence Saint John's Health Clinic
- Specialist
- Santa Monica, CA
- NPI 1336438902
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Pioneers Medical Center
- Critical Access Hospital
- Meeker, CO
- NPI 1801874771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1134469026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60901",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961609001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10121 PINE AVE",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614856",
"telephone_number": "530-587-6011"
}
],
"practiceLocations": [
{
"address_1": "2001 Santa Monica Blvd Ste 760W",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904042102",
"country_code": "US",
"telephone_number": "310-582-7474",
"fax_number": "310-582-7481",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3431 COUNTRY CLUB DR",
"address_purpose": "LOCATION",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081155",
"country_code": "US",
"telephone_number": "818-522-7622",
"fax_number": "888-329-6432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAKAS",
"first_name": "ANDREA",
"middle_name": "S",
"credential": "FNP-C, RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-28",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "CA",
"license": "601949",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP95003467",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abakas552883@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2001 Santa Monica Blvd Ste 760W",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904042102",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.