Dr Amanda Canada, PHD, DNP, PMHNP-BC in Tacoma, WA

Dr Amanda Canada, PHD, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tacoma, Washington. Her current practice location is 9040 Jackson Ave, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (210) 563-3299.

Dr Amanda Canada is licensed to practice in Washington (license number AP61321289) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871184010.

Contact Information

	Dr Amanda Canada, PHD, DNP, PMHNP-BC
	9040 Jackson Ave, Tacoma, WA 98431-0001
	(210) 563-3299
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Amanda Canada
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9040 Jackson Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871184010
Provider Enumeration Date: 01/31/2021
Last Update Date: 08/19/2025

Medicare PECOS Information:

PECOS PAC ID: 6800333428
Enrollment ID: I20240731004648

Medical Identifiers

Medical identifiers for Dr Amanda Canada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871184010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	772141 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61321289 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Amanda Canada allows following entities to bill medicare on her behalf.

Entity Name	Alliance For South Sound Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891298980 PECOS PAC ID: 5395094197 Enrollment ID: O20200327000694

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amanda Canada is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Amanda Canada, PHD, DNP, PMHNP-BC 8817 Martin Way E Apt 108, Lacey, WA 98516-6808 Ph: (210) 563-3299	Dr Amanda Canada, PHD, DNP, PMHNP-BC 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: (210) 563-3299

Reviews and Comments

Nurse Practitioner Nurses in Tacoma, WA

Salome Odja Dockendorf, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402 Phone: 812-870-6728
Barbara L Kapuscinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2751
Ms. Christine J. Larsen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493
Rick Hahn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000
Mrs. Kimberley Anne Burns, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1617 S J St, Tacoma, WA 98405 Phone: 253-274-7504
Randi Marie Berg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Tacoma, WA 98431 Phone: 253-968-2315
Marlene I Bridgforth, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 S Cedar St, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 Phone: 253-572-7320 Fax: 253-627-3191

Dr Amanda Canada, PHD, DNP, PMHNP-BC - Medicare Nurse Practitioner in Tacoma, WA