Amanda Mackanos, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP032496 Issued in PA

Practice address

18-1228 Kona Street
Mountain View, HI 96771

Phone

(808) 797-2621

Fax

(808) 452-1306

NPI assigned

Mar 31, 2025

Last updated

Jan 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Amanda Bobby Former name

Medicare fee-for-service enrollment

Enrolled in HI, PA2 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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Indiana Healthcare Physician Services IncGroup PAC ID 5294723359, 151 clinicians

Aloha Integrative Mental HealthGroup PAC ID 1355861998, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Indiana Regional Medical Center Hospital, Indiana, PA, CCN 390173

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

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.

• Aloha Integrative Mental Health

  • Adult Mental Health Clinic/Center
  • Mountain View, HI
  • NPI 1851013817
  Medicare reassignment Care Compare group NPD
• Indiana Healthcare Physician Services Inc

  dba IRMC Physician Group

  • Internal Medicine Physician
  • Indiana, PA
  • NPI 1578523429
  Medicare reassignment Care Compare group NPD
• P360 Care Services PLLC Dba Psych 360

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaver, PA
  • NPI 1750058202
  Medicare reassignment NPD
• Aloha Integrative Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Mountain View, HI
  • NPI 1821917048
  NPD (past)

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

• Indiana Regional Medical Center

  • Internal Medicine Physician
  • Blairsville, PA
  • NPI 1104055946

  Hospital

  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1356334510
  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1508047630
  Care Compare affiliation
• Indiana Regional Medical Center

  • Rural Acute Care Hospital
  • Indiana, PA
  • NPI 1659315372
  Care Compare affiliation

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1942003413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WHITE OAK RD",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155018548",
            "telephone_number": "814-937-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-1228 KONA STREET",
            "city": "MOUNTAIN VIEW",
            "state": "HI",
            "postal_code": "96771",
            "telephone_number": "808-797-2621",
            "fax_number": "808-452-1306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 White Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155018548",
            "country_code": "US",
            "telephone_number": "814-937-9315",
            "fax_number": "814-937-9315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Irmc Dr",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013673",
            "country_code": "US",
            "telephone_number": "724-357-7404",
            "fax_number": "724-357-7471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKANOS",
        "first_name": "AMANDA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP032496",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10045008",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-5157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12097",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104477680",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BOBBY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kirsten Wong
• Kokua Behavioral Consulting L.L.C.
• Lokelaokalani LLC
• Kuuleialoha Lovell-Wong
• Shauna Lover, DC
• Michael Brain McGee, LCSW
• Merissa Donta Mechela Tryven Medling
• Lovina Haunani Moevao-Kenui, LMHC
• Leann Neilson, PMHNP
• Amanda Odish, LMFT

• Psychiatric/Mental Health Nurse Practitioner in Mountain View, HI
• Providers in Mountain View, HI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.