Individual provider Active NPI

Amanda Leigh Lindner, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Anchorage, AK
National Provider Identifier
1265290936
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
218991 Issued in AK
Practice address
4120 Laurel St Ste 200
Anchorage, AK 99508-5392
Phone
(907) 563-1000
NPI assigned
Mar 7, 2024
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 218991 AK Primary

Addresses

Primary practice location

4120 Laurel St Ste 200
Anchorage, AK 99508-5392

Mailing address

4045 Lake Otis Pkwy Ste 210
Anchorage, AK 99508-5227
Phone (907) 563-1000

Other names 1

  • Amanda Leigh Mack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20240729000664 AK Practitioner - Nurse Practitioner 3678019486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4120 Laurel St
Suite 200
Anchorage, AK 99508-5392
Phone (907) 563-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Community Mental Health Services, Inc CurrentSince Jun 1, 2024 Accepting new patients
Anchorage Community Mental Health Services, Inc CurrentSince Jun 1, 2024 Accepting new patients
Anchorage Community Mental Health Services Inc. Current Accepting new patients

Locations

4020 Folker St
Anchorage, AK 99508
Phone (907) 561-0954

4045 Lake Otis Pkwy
Ste 209
Anchorage, AK 99508
Phone (907) 561-5440

4120 Laurel St
Ste 200
Anchorage, AK 99508

1423 Peger Rd
Fairbanks, AK 99709
Phone (907) 371-1300

351 W Parks Hwy
Ste 200
Wasilla, AK 99654

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1265290936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 LAKE OTIS PKWY STE 210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085227",
            "telephone_number": "907-563-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 LAUREL ST STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085392",
            "telephone_number": "907-563-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDNER",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "218991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MACK",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.