AMANDA BLAKELY DNP
NPI 1447094511
Nurse Practitioner - Psychiatric/Mental Health in Redmond, OR

Active since June 24, 2024PECOS Enrolled
7515 FALCON CREST DR # 200, REDMOND, OR 97756(541) 904-5216(541) 527-4347 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2025, Aug 6, 2024, Jun 24, 2024 (3 updates tracked since 2024).

About Amanda Blakely Dnp NPPES

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

AMANDA BLAKELY DNP (NPI 1447094511) is an individual psychiatric/mental health provider in Redmond, Oregon, licensed in Oregon (10028642) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bandon, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1447094511
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA BLAKELYCredential: DNP
Location Address7515 FALCON CREST DR # 200Redmond, OR 97756-5014
Mailing Address7515 Falcon Crest Dr # 200Redmond, OR 97756-5014 · (541) 904-5216 · Fax (541) 527-4347
Fax(541) 527-4347
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 24, 2024
Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1447094511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 10028642
7515 FALCON CREST DR # 200, Redmond, OR 97756

Secondary Practice Location 1

Location 11010 1st St SE Ste 110Bandon, OR 97411-9301 · Phone (541) 347-2529

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Blakely Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092242610
PECOS Enrollment IDI20241220001561
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Blakely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
1010 1ST ST SE
Bandon, OR 97411
  • Reassigned Medicare billing, Oregon enrollment
  • 21 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97756 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Social Worker (Clinical)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Nurse Practitioner (Psychiatric/Mental Health)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Counselor (Professional)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Social Worker (Clinical)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Counselor (Professional)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Counselor (Professional)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Counselor (Professional)
7515 FALCON CREST DR # 200
REDMOND, OR 97756

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 Blakely's NPI number?

The NPI number for Amanda Blakely is 1447094511. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Amanda Blakely located?

Amanda Blakely practices at 7515 Falcon Crest Dr # 200, Redmond, OR 97756. The listed phone number is (541) 904-5216.

What is Amanda Blakely's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Blakely enrolled in Medicare?

Yes. Amanda Blakely is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Blakely's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Blakely reassigns Medicare benefits to Bandon Community Health Center (Bandon, OR). The 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 Amanda Blakely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Blakely accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Amanda Blakely as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Blakely was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.