XANDRA MICHELLE BAZAR AMISTAD BSN, MSN, PMHNP-BC
NPI 1629963665
Nurse Practitioner - Psychiatric/Mental Health in Columbia, MO

Q: What is Xandra Michelle Amistad's NPI number?

The NPI number for Xandra Michelle Amistad is 1629963665. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Xandra Michelle Amistad's specialty?

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

Active since June 10, 2025PECOS EnrolledAccepts Medicare Assignment

1201 INTERNATIONAL DR, COLUMBIA, MO 65202(573) 615-7188 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2025, Jun 10, 2025 (2 updates tracked since 2025).

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About Xandra Michelle Bazar Amistad Bsn, Msn, Pmhnp-bc NPPES

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

XANDRA MICHELLE BAZAR AMISTAD BSN, MSN, PMHNP-BC (NPI 1629963665) is an individual psychiatric/mental health provider in Columbia, Missouri, licensed in Missouri (2025020595) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629963665

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameXANDRA MICHELLE BAZAR AMISTADCredential: BSN, MSN, PMHNP-BC

Location Address1201 INTERNATIONAL DRColumbia, MO 65202-1612

Mailing Address1201 International DrColumbia, MO 65202-1612 · (573) 615-7188

Phone(573) 615-7188

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 10, 2025

Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1629963665 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 MO · 2025020595

1201 INTERNATIONAL DR, Columbia, MO 65202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Xandra Michelle Bazar Amistad Bsn, Msn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446748081

PECOS Enrollment IDI20251024000670

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65202 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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 8

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

STEVEN EBERS PA-C

Physician Assistant