Amber Christine Rardin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-10592 Issued in NC

Practice address

4612 Nash St N
Wilson, NC 27896-8725

Phone

(252) 281-5044

Fax

(252) 558-0242

NPI assigned

Jul 14, 2020

Last updated

May 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lynn Hutchins Psychiatric NurseGroup PAC ID 3476866898, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Lynn Hutchins Psychiatric Nurse

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Wilson, NC
  • NPI 1134507163
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1043838238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968725",
            "telephone_number": "252-281-5044",
            "fax_number": "252-558-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968725",
            "telephone_number": "252-281-5044",
            "fax_number": "252-558-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RARDIN",
        "first_name": "AMBER",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10592",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "001010592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph L Clayton III (Southeastern Medical Supplies)
• Maria Elena Ramirez
• Mark Patrick Randolph, PA-C
• Richard Nichols Randolph, O.D.
• Colleen Dougherty Raper, MS, LCAS
• Mytajha Charbarneau Rascoe, MSW, LCSW
• Lakeisha Rayner, FNP-C
• Realo Discount Drug Stores of Eastern North Carolina Inc (Realo Discount Drugs)
• Realo Discount Drug Stores of Eastern North Carolina, Inc (Realo Discount Drugs)
• Karl Howard Rech, AU.D.

• Physician Assistant in Wilson, NC
• Providers in Wilson, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.