Xandra Michelle Bazar Amistad, BSN, MSN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2025020595 Issued in MO

Practice address

1201 International Dr
Columbia, MO 65202-1612

Phone

(573) 615-7188

NPI assigned

Jun 10, 2025

Last updated

Aug 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MO

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerpointe Hospital of Columbia LLCGroup PAC ID 0446502652, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Centerpointe Hospital of Columbia, LLC

  dba CenterPointe of Columbia

  • Psychiatric Hospital
  • Columbia, MO
  • NPI 1760973044
  Medicare reassignment Care Compare group NPD
• Success Health System, LLC

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1508310293
  Medicare reassignment NPD

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1629963665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 INTERNATIONAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021612",
            "telephone_number": "573-615-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 INTERNATIONAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021612",
            "telephone_number": "573-615-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMISTAD",
        "first_name": "XANDRA MICHELLE",
        "middle_name": "BAZAR",
        "credential": "BSN, MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2025020595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Americare at Colony Pointe Assisted Living, LLC (Colonly Pointe Assisted Living)
• Americare at Mill Creek Village Assisted Living LLC (Mill Creek Village Assisted Living)
• Amina Amin, M.D
• Osman Amin, DO
• Sanaa Amin, MA
• Nadir Ammar
• Thomas J Amolsch, PHD
• Maamoon Moatasim Amor, MD
• Mostafa Amor, MD
• J V Amrod, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in Columbia, MO
• Providers in Columbia, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.