AMANDA BAKER FNP-C, LLC
NPI 1003563370
Nurse Practitioner - Family in Deer Park, WA

Active since March 07, 2022
23 E CRAWFORD ST, DEER PARK, WA 99006(509) 485-4663(833) 661-1784 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2024, Mar 7, 2022 (2 updates tracked since 2022).

About Amanda Baker Fnp-c, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA BAKER FNP-C, LLC (NPI 1003563370) is a healthcare organization registered as a family in Deer Park, Washington and active in the NPI registry since March 2022. The organization lists Amanda Baker, Owner, as its authorized official.

NPPES Registry Identity

NPI1003563370
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAMANDA BAKER FNP-C, LLC
Location Address23 E CRAWFORD STDeer Park, WA 99006-5432
Mailing AddressPo Box 317Elk, WA 99009-0317 · (509) 485-4663 · Fax (833) 661-1784
Fax(833) 661-1784
Organization SubpartNo
Authorized OfficialAmanda BakerOwner · (509) 485-4663
Enumeration DateMarch 7, 2022
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1003563370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
23 E CRAWFORD ST, Deer Park, WA 99006

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Baker Fnp-c, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Amanda Baker Fnp-C, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1326708421
23 E CRAWFORD ST
Deer Park, WA 99006
(509) 485-4663
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Baker Fnp-C, LLC's NPI number?

The NPI number for Amanda Baker Fnp-C, LLC is 1003563370. It was assigned to this organization in the NPPES registry on March 7, 2022.

Where is Amanda Baker Fnp-C, LLC located?

Amanda Baker Fnp-C, LLC is located at 23 E Crawford St, Deer Park, WA 99006. The listed phone number is (509) 485-4663.

What is Amanda Baker Fnp-C, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Baker Fnp-C, LLC enrolled in Medicare?

Yes. Amanda Baker Fnp-C, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amanda Baker Fnp-C, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Amanda Baker Fnp-C, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Baker Fnp-C, LLC was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.