| Amanda Gildersleeve, NP-C | |
|
1095 N 1st Ave, Stayton, OR 97383-1203 | |
| (503) 767-3226 | |
| Not Available |
| Full Name | Amanda Gildersleeve |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1095 N 1st Ave, Stayton, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114652369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 202210764NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santiam Hospital | Stayton, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Canyon Family Health Inc | 7416297973 | 2 |
| Physical Therapy Northwest Limited Partnership | 7719243807 | 223 |
| Entity Name | Canyon Family Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801386677 PECOS PAC ID: 7416297973 Enrollment ID: O20190319002681 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Gildersleeve, NP-C 330 Pine St Se, Albany, OR 97321-4628 Ph: (971) 246-9594 | Amanda Gildersleeve, NP-C 1095 N 1st Ave, Stayton, OR 97383-1203 Ph: (503) 767-3226 |
Ernest Eugene Lissy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1375 N 10th Ave, Stayton, OR 97383 Phone: 503-769-2641 Fax: 503-769-3797 | |
Elizabeth Apollo-loomis, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 503-769-9307 | |
Takahla Circle, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 541-852-2746 | |
Mrs. Julia Rose Koos, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41805 Stayton Scio Rd Se, Stayton, OR 97383 Phone: 503-507-5356 Fax: 866-225-2708 | |
Jennifer Rae Muller, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1375 N 10th Ave, Stayton, OR 97383 Phone: 503-769-2641 | |
Mrs. Luanna Lee Dishon, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41805 Stayton Scio Rd Se, Stayton, OR 97383 Phone: 503-507-5356 |