Individual provider Active NPI

Amanda Erin Norton, DNP, ARNP

  • Adult Health Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1508309824
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP60698849 Issued in WA
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

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1508309824MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PSGroup PAC ID 5597018978, 3 clinicians

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 100Reported as group
Quality
99.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carla J Bauman MD PS Dermatology CurrentSince Jan 28, 2020 Accepting new patients

Locations

626 120th Ave NE
Ste B104
Bellevue, WA 98005
Phone (425) 455-3376

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.