DR. AMANDA CANADA PHD, DNP, PMHNP-BC
NPI 1871184010
Nurse Practitioner - Psychiatric/Mental Health in Tacoma, WA

Q: What is Amanda Canada's NPI number?

The NPI number for Amanda Canada is 1871184010. It was assigned to this individual provider in the NPPES registry on January 31, 2021.

Q: What is Amanda Canada's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Canada was last updated on August 19, 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.

Active since January 31, 2021PECOS EnrolledAccepts Medicare Assignment

9040 JACKSON AVE, TACOMA, WA 98431(210) 563-3299 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2022, Jan 31, 2021 (2 updates tracked since 2021).

On this page

About Dr. Amanda Canada Phd, Dnp, Pmhnp-bc NPPES

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

DR. AMANDA CANADA PHD, DNP, PMHNP-BC (NPI 1871184010) is an individual psychiatric/mental health provider in Tacoma, Washington, licensed in Washington (AP61321289) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Md Capital Region Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871184010

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. AMANDA CANADACredential: PHD, DNP, PMHNP-BC

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing Address8817 Martin Way E Apt 108Lacey, WA 98516-6808 · (210) 563-3299

Phone(210) 563-3299

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 31, 2021

Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration

NPPES CertifiedAugust 19, 2025

✔ NPI 1871184010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP61321289

Also ListedRegistered NurseTaxonomy 163W00000X · License 772141 (TX)

9040 JACKSON AVE, Tacoma, WA 98431

Open in Google Maps ↗

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

Dr. Amanda Canada Phd, Dnp, 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 ID6800333428

PECOS Enrollment IDI20250911004990

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210003

Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered