Anna Armendariz, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Boise, ID
NPI 1235765652 · NPPES record last updated Jul 31, 2020
Key facts
- NPI
- 1235765652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 55408 (ID)
- Practice address
- 131 N Allumbaugh St
Boise, ID 83704 - Phone
- (208) 302-0900
- Fax
- (208) 302-0955
- NPI assigned
- Mar 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 60
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maniilaq Association
Southeast Alaska Regional Health Consortium
Practice addresses (Care Compare)
110 Main St
Ambler Clinic
Ambler, AK 99786-0110
Phone (907) 445-2129
1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611
1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611
1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611
222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
436 5TH and Ted Stevens Way
Maniilaq Health Center
Kotzebue, AK 99752-0043
Phone (907) 442-3321
P O Box
Suite 43
Kotzubue, AK 99752-0043
PO Box
Suite 43
Kotzebue, AK 99752-0043
Hospital & facility affiliations
- Maniilaq Health Center
- Southeast Alaska Regional Health Consortium
- Alaska Native Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20250520000337 | TX | Practitioner - Nurse Practitioner | 7416373089 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55408 | ID | MD | Primary Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maniilaq Association | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Maniilaq Association | Current |
Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current |
Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current |
Accepting new patients | |
| Maniilaq Association | Current |
Accepting new patients |
Locations
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 55408 | ID | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 55408 | ID | Yes |
Addresses
Primary practice location
131 N Allumbaugh St
Boise, ID 83704
Mailing address
3340 E Goldstone Dr.
Meridian, ID 83642
Phone (208) 302-0900
Other providers in Boise, ID
- Aubrey Christine Arensdorf
- Gretchen Arguedas
- Aubree Ann Argyle
- Bibiana Arias
- Marilyn Sue Armayor
- Molly Beth Armijo
- Jayden Armitage
- Andrea Rebecca Armstrong
- Hanna Armstrong
- Jared T Armstrong
All providers in Boise, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2020. 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.