Amanda Marie Bonazzi

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

721093 Issued in TX

Practice address

170 Deepwood Dr
Suite 104
Round Rock, TX 78681-4944

Phone

(512) 458-8400

Fax

(512) 458-8593

NPI assigned

Apr 10, 2008

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

Other names 1

• Amanda Marie Malek Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Diabetes and Endocrinology, P.a.Group PAC ID 3577459031, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Seton Highland Lakes Hospital, Burnet, TX, CCN 451365
• Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718

Merit-based Incentive Payment System (MIPS)

Final score

75.33 of 100Reported as group

Quality

65.64

Promoting interoperability

76

Improvement activities

40

Cost

72.13

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

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.

• Texas Diabetes and Endocrinology, P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • Austin, TX
  • NPI 1467427419

  TX

  Medicare reassignment Care Compare group
• Texas Diabetes and Endocrinology PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Round Rock, TX
  • NPI 1083888523
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Seton

  • Critical Access Hospital
  • Burnet, TX
  • NPI 1003833013

  Hospital

  Care Compare affiliation
• St Davids Healthcare Partnership LP LLP

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1649223645

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1205009362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 NORTH MOPAC",
            "address_2": "BUILDING 3 SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 DEEPWOOD DR",
            "address_2": "SUITE 104",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814944",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAZZI",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "721093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MALEK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Bolin, LPC
• Tina Louise Bollman, LCSW
• Christina Marie Boman, NP-C
• Annie Bomer, APRN
• Nicholas Bonacci
• Olivia Bond, M.S. CCC-SLP
• Sara Bonham
• Michael Bonner, LPC-S
• Nicole Bontrager, LPC
• Blaine Eric Booher, PT

• Adult Health Clinical Nurse Specialist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Adult Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.

Verify at the official NPI Registry.