Active NPI
Amanda Erin Norton, DNP, ARNP
- Adult Health Nurse Practitioner
- Bellevue, WA
National Provider Identifier
1508309824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP60698849
- Practice address
- 626 120TH Ave NE Ste B104
Bellevue, WA 98005-3077 - Phone
- (425) 455-3376
- NPI assigned
- Nov 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | AP60698849 | WA | |
| Nurse Practitioner | 363L00000X | AP60698849 | WA | |
| Adult Health Nurse Practitioner | 363LA2200X | AP60698849 | WA | Primary |
Addresses
Primary practice location
626 120TH Ave NE Ste B104
Bellevue, WA 98005-3077
Mailing address
25635 SE Tiger Mountain Rd
Issaquah, WA 98027-8357
Phone (415) 713-6080
Other practice location 1
25635 SE Tiger Mountain Rd
Issaquah, WA 98027-8357
Phone (415) 713-6080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508309824 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161213002663 | WA | Practitioner - Nurse Practitioner | 9931489713 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carla J Bauman MD PS
Practice addresses (Care Compare)
626 120TH Ave NE
Suite B104
Bellevue, WA 98005-3077
Phone (425) 455-3376
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.85 of 100
- Quality
- 99.73
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carla J Bauman MD PS | Dermatology | Current | Accepting new patients |
Locations
626 120th Ave NE
Ste B104
Bellevue, WA 98005
Phone (425) 455-3376
Interoperability endpoints
- amandan@cjbmd.emadirect.md
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1508309824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25635 SE TIGER MOUNTAIN RD",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278357",
"telephone_number": "415-713-6080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 120TH AVE NE STE B104",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980053077",
"telephone_number": "425-455-3376"
}
],
"practiceLocations": [
{
"address_1": "25635 SE Tiger Mountain Rd",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980278357",
"country_code": "US",
"telephone_number": "415-713-6080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORTON",
"first_name": "AMANDA",
"middle_name": "ERIN",
"name_prefix": "Dr.",
"credential": "DNP, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-18",
"last_updated": "2025-01-16",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "AP60698849",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60698849",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP60698849",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508309824",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.