Amanda Nall, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN-4102 Issued in HI

Practice address

6458A Ahele Dr
Kapaa, HI 96746-9406

Phone

(763) 258-3612

NPI assigned

Jun 26, 2023

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

Medicare fee-for-service enrollment

Enrolled in HI

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• George S Mackel, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1891082376
  Medicare reassignment
• George Mackel, Pmhnp-BC, LLC

  • Rural Health Clinic/Center
  • Hilo, HI
  • NPI 1184583585
  NPD (past)
• Ohanapsych

  • Rural Health Clinic/Center
  • Hilo, HI
  • NPI 1609732858
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1447936133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6458A AHELE DR",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967469406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6458A AHELE DR",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967469406",
            "telephone_number": "763-258-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALL",
        "first_name": "AMANDA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health Kokua
• Muriah Meegan Moises, RN
• Monica Moore
• Mehrnaz Motazedian
• Mathew George Mullahy
• Tammie Katherine Yukie Napoleon, APRN
• Danita Dee Narciso, PHARMD
• Paul Brian Narciso, PHARM.D
• Rachel Nelson, LMT
• Network Wellness Center Inc

• Psychiatric/Mental Health Nurse Practitioner in Kapaa, HI
• Providers in Kapaa, HI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.