Individual provider Active NPI

Amber Dawn Deere, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wasilla, AK
National Provider Identifier
1912483397
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
249489 Issued in AK
Practice address
800 E Railroad Ave Ste 210
Wasilla, AK 99654-8137
Phone
(907) 313-7965
Fax
(907) 531-3886
NPI assigned
Jul 18, 2018
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5989 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R36801 ND
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 249489 AK Primary

Addresses

Primary practice location

800 E Railroad Ave Ste 210
Wasilla, AK 99654-8137

Mailing address

PO Box 870606
Wasilla, AK 99687-0606
Phone (907) 313-7965

Other practice location 1

301 Mountain St E
Cavalier, ND 58220-4015
Phone (701) 265-6307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180829001772 MN Practitioner - Nurse Practitioner 0345590196 Reassigns benefits to 2 organizations
I20240328004064 ND Practitioner - Nurse Practitioner 0345590196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Dakota School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Mountain St E
Cavalier, ND 58220-4015
Phone (701) 265-8461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5989MNMDPhysical Therapist
249489AKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pembina County Memorial Hospital Association CurrentSince Jan 9, 2024 Accepting new patients
Lifecare Medical Center Current Accepting new patients
Kittson Memorial Hospital Association CurrentSince Jan 18, 2021 Accepting new patients
Kittson Memorial Hospital Association CurrentSince Jan 18, 2021 Accepting new patients
Mat-Su Mental Health LLC Past Accepting new patients

Locations

1010 S Birch Ave
Hallock, MN 56728
Phone (218) 843-3612

301 Mountain St E
Cavalier, ND 58220
Phone (701) 265-6307

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 3

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1912483397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870606",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996870606",
            "telephone_number": "907-313-7965",
            "fax_number": "907-531-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E RAILROAD AVE STE 210",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548137",
            "telephone_number": "907-313-7965",
            "fax_number": "907-531-3886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Mountain St E",
            "address_purpose": "LOCATION",
            "city": "Cavalier",
            "state": "ND",
            "postal_code": "582204015",
            "country_code": "US",
            "telephone_number": "701-265-6307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEERE",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "5989",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R36801",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "249489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.