Amber Dawn Bajema, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

55836 Issued in ID

Practice address

5852 N Stafford LN
Meridian, ID 83646-7235

Phone

(208) 907-3255

Fax

(866) 304-6778

NPI assigned

Nov 25, 2022

Last updated

May 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 WA, ID2 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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Nvelup Telehealth PLLCGroup PAC ID 7719398569, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amber.bajema.1@25305.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25305/brand/1/csg/1/fhir/r4

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.

• Nvelup Telehealth PLLC

  • Psychiatry Physician
  • Seattle, WA
  • NPI 1356952766
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1457061962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5852 N STAFFORD LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467235",
            "telephone_number": "208-907-3255",
            "fax_number": "866-304-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5852 N STAFFORD LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467235",
            "telephone_number": "208-907-3255",
            "fax_number": "866-304-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJEMA",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "55836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly C Bailey Neff, LSW
• Brooke E Bailey, LMSW
• Glen Ronald Bailey, MPT
• Jessica Marie Baird, LMHCA
• Kalyn Baisley, PA-C
• Allan Baker
• Joshua Baker
• Kenneth James Baker, LPC
• Laura Baker, M.COUN, LPC
• Lindsay Ann Baker

• Psychiatric/Mental Health Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.