Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831850023 Individual Practitioner Female Practitioner

Amanda Reed Proctor

Nurse Practitioner • Deer Park, WA

Professional Overview & Biography Verified Profile Summary

Amanda Proctor is a registered healthcare professional specializing in Nurse Practitioner in Deer Park, WA. Practice services are available at 905 E D ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

905 E D St

Deer Park, WA 990065167

Telephone 5092765005
Fax 5092767785
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Deer Park, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Deer Park, WA (2339 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
23 22 $155.00 $76.53

Medical Specialties & State Licenses

CMS Verified: 2023-06-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP61250114

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License WA F10211086

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Practice Locations

24261 N Us Highway 101

Hoodsport, WA 985489456

Phone: 3604327781

702 S Park St

Deer Park, WA 990067025

Phone: 5092629000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Derek Hennessy , PA-C

Physician Assistant

NPI 1073685285

Physician Assistant (Certified)

Kendahl Ludiker , PA

Physician Assistant

NPI 1083248686

Physician Assistant

Selina Ross , ARNP

Nurse Practitioner - Family

NPI 1215358841

Advanced Registered Nurse Practitioner

Brenda Wilks , PA-C

Physician Assistant

NPI 1386996056

Physician Assistant (Certified)

NPI 1487650883

Doctor of Medicine (M.D.)

NPI 1518134964

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 15, 2023

Registered at 905 E D ST, DEER PARK, WA 990065167 (Tel: 5092765005)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2023

Family Medicine (License #F10211086 in WA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2022

Nurse Practitioner (License #AP61250114 in WA)

NPI Profile Active January 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2022

Registered at 24261 N US HIGHWAY 101, HOODSPORT, WA 985489456 (Tel: 3604327781)

📍
Updated Business Mailing Address January 10, 2022

Registered at 901 MOUNTAIN VIEW DR, SHELTON, WA 985844401 (Tel: 5094960130)

👤
Provider Name / Credentials Updated January 10, 2022

Recorded as AMANDA PROCTOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2022

Family Medicine (License #F10211086 in WA)

🟢
Initial NPI Registration & Enumeration January 10, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831850023
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2022
Last Update: June 15, 2023
Sole Proprietor: No

Mailing Address

901 Mountain View Dr

Shelton, WA 985844401

Phone: 5094960130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.