Individual provider Active NPI

Amber Marie Bahm, NP

  • Family Nurse Practitioner
  • Cottonwood, AZ
National Provider Identifier
1619460532
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11392 Issued in AZ
Practice address
203 S Candy LN Ste 9B
Cottonwood, AZ 86326-4121
Phone
(928) 756-7987
Fax
(725) 567-0978
NPI assigned
Jun 14, 2018
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X AP11392 AZ
Family Nurse Practitioner 363LF0000X AP11392 AZ Primary

Addresses

Primary practice location

203 S Candy LN Ste 9B
Cottonwood, AZ 86326-4121

Mailing address

PO Box 1175
Cottonwood, AZ 86326-1175
Phone (928) 756-7987

Other names 1

  • Amber Marie Gefaller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180903000117 AZ Practitioner - Nurse Practitioner 2062762602 Reassigns benefits to 2 organizations
Practice locations: Cottonwood, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of YavapaiGroup PAC ID 8921919499, 20 clinicians

Practice addresses (Care Compare)

1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 583-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11392AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Bahm Family Practice LLC Family Medicine Current Accepting new patients
Signify Health, LLC CurrentSince Nov 1, 2025 Accepting new patients
County of Yavapai Current Accepting new patients
County of Yavapai Past Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

203 S Candy Ln
Ste 9B
Cottonwood, AZ 86326
Phone (928) 202-3485

1090 Commerce Dr
Prescott, AZ 86305
Phone (928) 583-1000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: amber.bahmnp.p1@direct.ycchs.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1619460532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1175",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863261175",
            "telephone_number": "928-756-7987",
            "fax_number": "725-567-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN STE 9B",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264121",
            "telephone_number": "928-756-7987",
            "fax_number": "725-567-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHM",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "AZ",
            "license": "AP11392",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "GEFALLER",
            "middle_name": "MARIE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.