NPIMap

Individual provider Active NPI

Amy A Phillips, PAC

  • Physician Assistant
  • Upper Sandusky, OH
National Provider Identifier
1013955160
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50001603 Issued in OH
Practice address
885 N Sandusky Ave
Upper Sandusky, OH 43351-1098
Phone
(419) 294-4991
Fax
(419) 209-0278
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50001603 OH Primary

Addresses

Primary practice location

885 N Sandusky Ave
Upper Sandusky, OH 43351-1098

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aphillips813871@direct.mercy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090722000290 OH Practitioner - Physician Assistant 2365340569 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyandot Memorial HospitalGroup PAC ID 1557340189, 70 clinicians

Practice addresses (Care Compare)

423 W Church St
Upper Sandusky, OH 43351-1038
Phone (419) 294-4051

885 N Sandusky Ave
Upper Sandusky, OH 43351-1031
Phone 41929449912157

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50001603OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandot Memorial Hospital CurrentSince Nov 2, 2020 Accepting new patients
Incare Health Solutions, LLC Physician Assistant CurrentSince Nov 1, 2013 Accepting new patients
Wyandot Memorial Hospital Current Accepting new patients
Marion Physician Billing LLC Past Accepting new patients
Ohio Emergency Professionals Inc Physician Assistant Past Accepting new patients
Marion General Hospital Foundation, Inc. Past Accepting new patients

Locations

269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841

175 Edgefield Blvd
Marion, OH 43302
Phone (740) 751-6433

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

423 W Church St
Upper Sandusky, OH 43351
Phone (419) 294-4051

Interoperability endpoints

  • Direct secure messaging: aphillips813871@direct.bsmhealth.org

Organizations & group practices 9

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 1

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1013955160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511098",
            "telephone_number": "419-294-4991",
            "fax_number": "419-209-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMY",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50001603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aphillips813871@direct.mercy.com",
            "affiliation": "N",
            "address_1": "885 N Sandusky Ave",
            "city": "Upper Sandusky",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433511098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Sandusky, OH

Sources for this page

Verify at the official NPI Registry.