Amanda Nichole Eckersley, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

8302966-4405 Issued in UT

Practice address

8TH Avenue C Street
Salt Lake City, UT 84143-0001

Phone

(801) 408-3858

NPI assigned

Jul 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT, TX, OR3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians

Oregon Oncology Specialists LLPGroup PAC ID 3971576240, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
• Samaritan Lebanon Community Hospital Hospital, Lebanon, OR, CCN 381323
• Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022

Merit-based Incentive Payment System (MIPS)

Final score

91.14 of 100Reported as group

Quality

85.78

Promoting interoperability

100

Improvement activities

40

Cost

78.31

Merit-based Incentive Payment System (MIPS)

Final score

96.77 of 100Reported as group

Quality

88.09

Promoting interoperability

100

Improvement activities

40

Cost

84.48

Merit-based Incentive Payment System (MIPS)

Final score

90.93 of 100Reported as group

Quality

70.1

Promoting interoperability

100

Improvement activities

40

Cost

83.01

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aneckersley@direct.anthc.org
• Direct secure messaging: aeckersley304954@samhealth.direct-ci.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.

• Good Samaritan Hospital Corvallis

  • General Acute Care Hospital
  • Corvallis, OR
  • NPI 1962453134

  OR

  Medicare reassignment Care Compare group NPD
• Oregon Oncology Specialists, LLP

  • Hematology & Oncology Physician
  • Salem, OR
  • NPI 1013953025

  OR

  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154

  UT

  Medicare reassignment NPD
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Albany General Hospital

  • General Acute Care Hospital
  • Albany, OR
  • NPI 1154372340

  OR

  Medicare reassignment NPD
• Mid-Valley Healthcare Inc

  • Critical Access Hospital
  • Lebanon, OR
  • NPI 1689625980

  OR

  Medicare reassignment NPD
• Samaritan North Lincoln Hospital

  • Critical Access Hospital
  • Lincoln City, OR
  • NPI 1306897491

  OR

  Medicare reassignment NPD
• Samaritan Pacific Health Services, Inc

  • Critical Access Hospital
  • Newport, OR
  • NPI 1801847066

  OR

  Medicare reassignment NPD
• Samaritan Pacific Health Services, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Newport, OR
  • NPI 1174888010

  OR

  Medicare reassignment NPD
• Oregon Oncology Specialists, LLP

  • Clinic Pharmacy
  • Salem, OR
  • NPI 1134592041
  Care Compare group NPD
• Good Samaritan Hospital Corvallis

  • Community/Retail Pharmacy
  • Corvallis, OR
  • NPI 1427497569
  Care Compare group
• Good Samaritan Hospital Corvallis

  • Home Infusion Therapy Pharmacy
  • Corvallis, OR
  • NPI 1447361514
  Care Compare group

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

• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1013273275

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Internal Medicine Physician
  • Albany, OR
  • NPI 1104182369

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • General Acute Care Hospital
  • Albany, OR
  • NPI 1154372340

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1306679816

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albany, OR
  • NPI 1326755158

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Albany, OR
  • NPI 1346620408

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Rheumatology Physician
  • Albany, OR
  • NPI 1407564354

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Surgery Physician
  • Albany, OR
  • NPI 1467718627

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Internal Medicine Physician
  • Albany, OR
  • NPI 1508130717

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1558776047

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Sleep Disorder Diagnostic Clinic/Center
  • Albany, OR
  • NPI 1700333184

  Hospital

  Care Compare affiliation
• Albany General Hospital

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740546431

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1447802418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 S 2000 E",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841093319",
            "telephone_number": "801-635-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8TH AVENUE C STREET",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841430001",
            "telephone_number": "801-408-3858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 NW Elks Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303744",
            "country_code": "US",
            "telephone_number": "541-768-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKERSLEY",
        "first_name": "AMANDA",
        "middle_name": "NICHOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "8302966-4405",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "10029528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aeckersley304954@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "441 NW Elks Dr Ste 100",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dominic Jon Echeverria, OT
• Jocelyn Echeverria
• Ted Martin Echols
• Midori J. Eckenstein, MD
• Anneka Jane Ecker
• Alyssa M. Eckert, MD
• Hannah Eckert, LCSW
• Kathryn Lynn Eckert, MD
• Leslie Pratt Eckford, RN, LCSW
• Cailin Lee Eckhart, MD

• All providers in Salt Lake City, UT
• Acute Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.