Individual provider Active NPI

Amy L Lewis, PA-C

  • Physician Assistant
  • Parrish, FL
National Provider Identifier
1003924119
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9115041 Issued in FL
Practice address
8927 US Highway 301 N Ste 210
Parrish, FL 34219-8701
Phone
(941) 845-4621
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 1240-023 ZZ
Physician Assistant 363A00000X 3618-024 WI
Physician Assistant 363A00000X 9115041 FL Primary

Addresses

Primary practice location

8927 US Highway 301 N Ste 210
Parrish, FL 34219-8701

Mailing address

3018 53Rd Ave E
Bradenton, FL 34203-4331
Phone (941) 348-2760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106001550 FL Practitioner - Physician Assistant 9931000262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primehealth Urgent Care LLCGroup PAC ID 6002240967, 18 clinicians

Practice addresses (Care Compare)

4647 Manatee Ave W
Bradenton, FL 34209-3816
Phone (941) 745-5999

8927 US Hwy 301 N
Suite 210
Parrish, FL 34219-8701
Phone (941) 845-4621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
551AKMDChiropractor
9115041FLMDPhysician Assistant
3618-024WIMDPhysician Assistant
1240-023ZZMDPhysician Assistant
1240WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Primehealth Urgent Care LLC CurrentSince Dec 1, 2021 Accepting new patients
Primehealth Urgent Care LLC CurrentSince Dec 1, 2021 Accepting new patients
Aurora Medical Center of Oshkosh, Inc Past Accepting new patients

Locations

4647 Manatee Ave W
Bradenton, FL 34209
Phone (941) 745-5999

3018 53rd Ave E
Bradenton, FL 34203
Phone (941) 260-2326

4015 US Highway 301 N
Ellenton, FL 34222
Phone (941) 269-2813

20321 Grande Oak Shoppes Blvd
Ste 308
Estero, FL 33928
Phone (239) 758-0914

5660 Fishhawk Crossing Blvd
Lithia, FL 33547
Phone (813) 328-6262

8927 US Highway 301 N
Ste 210
Parrish, FL 34219
Phone (941) 845-4621

8927 US Highway 301 N
#210
Parrish, FL 34219
Phone (941) 845-4621

23951 Peachland Blvd
Ste 1
Port Charlotte, FL 33954
Phone (941) 260-2326

5221 Clark Rd
Sarasota, FL 34233
Phone (941) 845-4621

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18896/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1003924119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 53RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034331",
            "telephone_number": "941-348-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8927 US HIGHWAY 301 N STE 210",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198701",
            "telephone_number": "941-845-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ZZ",
            "license": "1240-023",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3618-024",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9115041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parrish, FL

Sources for this page

Verify at the official NPI Registry.