DR. AMANDA CANADA PHD, DNP, PMHNP-BC
NPI 1871184010
Nurse Practitioner - Psychiatric/Mental Health in Tacoma, WA
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 maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Amanda Canada reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tacoma, WA 98405
- Reassigned Medicare billing, Washington enrollment
- 87 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 128 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.
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, MDPhysician 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.
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.
TACOMA, WA 98431
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 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.
Where is Amanda Canada located?
Amanda Canada practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (210) 563-3299.
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.
Is Amanda Canada enrolled in Medicare?
Yes. Amanda Canada is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Amanda Canada's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Canada reassigns Medicare benefits to 2 organizations: Alliance For South Sound Health (Tacoma, WA) and Axis Healthcare Group (Silver Spring, MD). Each 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 Canada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Amanda Canada affiliated with any hospitals?
According to CMS data, Amanda Canada is affiliated with University Of MD Capital Region Medical Center.
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 14 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.
# Dr. Amanda Canada, PHD, DNP, PMHNP-BC · NPI 1871184010
Psychiatric/Mental Health physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since January 31, 2021.
## Identity
- **NPI:** 1871184010 (Entity type: Individual)
- **Enumerated:** January 31, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** AP61321289 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 9040 JACKSON AVE, Tacoma, WA 98431-0001
- **Phone:** (210) 563-3299
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alliance For South Sound Health (NPI 1891298980, Tacoma, WA); Axis Healthcare Group (NPI 1326295098, Silver Spring, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871184010) · Data from the CMS NPPES public registry.