Ms Amanda Reed Proctor, - Medicare Nurse Practitioner in Deer Park, WA

  1. Home
Ms Amanda Reed Proctor, is a medicare enrolled "Nurse Practitioner" physician in Deer Park, Washington. She graduated from medical school in 2022 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Deer Park Family Care Clinic Ps, Deer Park Urgent Care Pllc and her current practice location is 905 E D St, Deer Park, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 276-5005.

Ms Amanda Reed Proctor is licensed to practice in Washington (license number AP61250114) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831850023.

Contact Information

Ms Amanda Reed Proctor,
905 E D St,
Deer Park, WA 99006-5167
(509) 276-5005
(509) 276-7785

Map and Direction




Physician's Profile

Full NameMs Amanda Reed Proctor
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location905 E D St, Deer Park, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Amanda Reed Proctor graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1831850023
  • Provider Enumeration Date: 01/10/2022
  • Last Update Date: 06/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315331436
  • Enrollment ID: I20220304002078

Medical Identifiers

Medical identifiers for Ms Amanda Reed Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831850023NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine F10211086 (Washington)Secondary
363L00000XNurse Practitioner AP61250114 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Deer Park Family Care Clinic Ps17592718369
Deer Park Urgent Care Pllc43856447078

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. Ms Amanda Reed Proctor allows following entities to bill medicare on her behalf.
Entity NamePublic Hospital District No 1 Of Mason County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760568752
PECOS PAC ID: 0345139275
Enrollment ID: O20040310001481
Entity NameDeer Park Family Care Clinic Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548294150
PECOS PAC ID: 1759271836
Enrollment ID: O20040319001408
Entity NameDeer Park Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093741076
PECOS PAC ID: 4385644707
Enrollment ID: O20070109000618

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. Ms Amanda Reed Proctor 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 AddressPractice Location Address
Ms Amanda Reed Proctor,
901 Mountain View Dr,
Shelton, WA 98584-4401

Ph: (509) 496-0130		Ms Amanda Reed Proctor,
905 E D St,
Deer Park, WA 99006-5167

Ph: (509) 276-5005

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.