Amanda Baer James, FNP
Individual provider Active NPI Family Nurse Practitioner · Willow Creek, CA
NPI 1831295484 · NPPES record last updated Dec 8, 2011
Key facts
- NPI
- 1831295484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP9942 (CA)
- Practice address
- 38883 Highway 299
Willow Creek, CA 95573 - Phone
- (530) 529-3111
- Fax
- (530) 529-3122
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Medical Foundation
Practice addresses (Care Compare)
200 W Ctr St Promenade
Anaheim, CA 92805-3960
2280 Harrison Ave
Eureka, CA 95501-3200
Phone (707) 443-9371
2752 Harrison Ave
Eureka, CA 95501-4738
3304 Renner Dr
Fortuna, CA 95540-7102
Phone (714) 449-4800
500 Doyle Park Dr
Santa Rosa, CA 95405-4559
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050517000643 | CA | Practitioner - Nurse Practitioner | 0042251324 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP9942 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Community Health Centers | Current | Accepting new patients | |
| Providence Medical Foundation | Current |
Accepting new patients | |
| Open Door Community Health Centers | Current |
Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Open Door Community Health Centers | Current |
Accepting new patients | |
| Providence Medical Foundation | Current |
Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
1275 8th St
Arcata, CA 95521
2752 Harrison Ave
#A
Eureka, CA 95501
Phone (707) 268-0190
2675 Harris St
Eureka, CA 95503
Phone (707) 269-0644
2280 Harrison Ave
Ste B
Eureka, CA 95501
Phone (707) 443-9371
670 9th St
Ste 203
McKinleyville, CA 95521
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP9942 | CA | Yes |
Addresses
Primary practice location
38883 Highway 299
Willow Creek, CA 95573
Mailing address
670 9TH St
Suite 203
Arcata, CA 95521-6248
Phone (707) 826-8633
Other providers in Willow Creek, CA
- Roland N Grubb
- Sydney Haynes
- Shari Rachelle Hostler
- Humboldt County Behavioral Health
- Humboldt Radiology Medical Group Inc
- William O. Jones
- Klamath Trinity Non-Emergency Transportation
- Patricia Komlenic
- Cynthia Llewellyn
- Jane E Manning
All providers in Willow Creek, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.