Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda E Boulis, PA

Individual provider Physician Assistant · NPI 1992973044

Amanda E Boulis, PA is a Physician Assistant in Seattle, Washington. Qualified in 2007, 19 years ago. Practices with Yuma Regional Medical Center, a 372-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Texas and Washington.

Years since qualifying
19
Licensed in
AZ, TX, WA
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1600 E Jefferson St Ste 110
Seattle, WA 98122-5698
Phone: (206) 320-7300
Fax: (206) 320-4698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2400 S Avenue A, Yuma, AZ 85364-7170 — (928) 344-2000
  • 703 S Fleishel Ave Ste 5000, Tyler, TX 75701-2015 — (903) 606-6139

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA16207 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 10362 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence TA10005363 (WA)

Record details

NPI number1992973044
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 12, 2008
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing addressPo Box 84026, Seattle, WA 98124-8426

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Yuma Regional Medical Center — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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