Individual provider Active NPI

Amee J Koch, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1013932094
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006681 Issued in CO
Practice address
2 Embarcadero Ctr Lbby
San Francisco, CA 94111-3823
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA10004376 WA
Physician Assistant 363A00000X PA01352 OR
Physician Assistant 363A00000X 52312 CA
Physician Assistant 363A00000X PA.0006681 CO Primary

Addresses

Primary practice location

2 Embarcadero Ctr Lbby
San Francisco, CA 94111-3823

Mailing address

707 N Iowa St
Gunnison, CO 81230-2229
Phone (970) 641-1456

Other practice location 1

707 N Iowa St
Gunnison, CO 81230-2229
Phone (970) 641-1456

Other identifiers 1

IdentifierTypeStateIssuer
500606249MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CO, AK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080501000078 OR Practitioner - Physician Assistant 7911086061 Reassigns benefits to 1 organization
I20211214001263 CO Practitioner - Physician Assistant 7911086061 Reassigns benefits to 2 organizations
I20250903004403 AK Practitioner - Physician Assistant 7911086061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Greg Kruschek Ave
Nome, AK 99762

PO Box
Suite 966
Nome, AK 99762-0966

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
40.82 of 100Reported as group
Quality
9.1
Promoting interoperability
100
Improvement activities
0
Cost
43.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10004376WAMDFamily Medicine Physician
52312CAMDPhysician Assistant
PA.0006681COMDPhysician Assistant
PA01352ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gunnison Valley Hospital CurrentSince Dec 1, 2025 Accepting new patients
Norton Sound Health Corporation Family Medicine CurrentSince Jul 7, 2025 Accepting new patients
Norton Sound Health Corporation CurrentSince Jul 7, 2025 Accepting new patients
Gunnison Valley Hospital CurrentSince Sep 8, 2021 Accepting new patients
Gunnison Valley Hospital CurrentSince Sep 8, 2021 Accepting new patients
Seattle Primary Physicians, PLLC Family Medicine Past Accepting new patients
Gunnison Valley Hospital Past Accepting new patients

Locations

707 N Iowa St
Gunnison, CO 81230
Phone (970) 641-1771

711 N Taylor St
Gunnison, CO 81230
Phone (970) 641-1456

Interoperability endpoints

  • Direct secure messaging: akoch27093@secure.stcharleshealthcare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1013932094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N IOWA ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302229",
            "telephone_number": "970-641-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EMBARCADERO CTR LBBY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113823",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 N Iowa St",
            "address_purpose": "LOCATION",
            "city": "Gunnison",
            "state": "CO",
            "postal_code": "812302229",
            "country_code": "US",
            "telephone_number": "970-641-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCH",
        "first_name": "AMEE",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "PA10004376",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA01352",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52312",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500606249",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.