Amanda Bailey, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-131124 Issued in AL

Practice address

26 Pecan Cir
Millbrook, AL 36054-4946

Phone

(334) 235-1753

NPI assigned

Apr 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.bailey.1@9186.direct.athenahealth.com

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.

• Jackson Hospital and Clinic, Inc.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1073264107
  Medicare reassignment Care Compare group NPD
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1437606605

  Family

  Medicare reassignment NPD
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Monroeville, AL
  • NPI 1013519230
  NPD
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Phenix City, AL
  • NPI 1629609631
  NPD
• Jackson Hospital & Clinic, Inc.

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1043262488
  NPD (past)

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

• Jackson Hospital & Clinic, Inc.

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1043262488
  Care Compare affiliation

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1255864732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PECAN CIR",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360544946",
            "telephone_number": "334-235-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PECAN CIR",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360544946",
            "telephone_number": "334-235-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "AMANDA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-131124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alabama CVS Pharmacy, L.L.C.
• Alabama Dental Professionals, PC
• Steven L Allen, MD
• Derion Allums, ALC
• Autauga-Elmore Mental Retardation Board, Inc.
• Michaela Delane Baker
• Sharon Raye Baker, RDN
• Zachary Wayne Baker, DMD
• June B Barrett, RD
• Taylor Bass

• Family Nurse Practitioner in Millbrook, AL
• Providers in Millbrook, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.