Amanda Suzanne Anuenue Muck, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA15075 Issued in TX

Practice address

5228 W Plano Pkwy
Plano, TX 75093-5005

Phone

(972) 250-5700

NPI assigned

Oct 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Texas Medical Branch at Galveston, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Star Orthopedic Institute LLCGroup PAC ID 7618392424, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center - Frisco Hospital, Frisco, TX, CCN 450853
• Legent Surgical Hospital Plano Hospital, Plano, TX, CCN 670322

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: amanda.moraglia.1@31411.direct.athenahealth.com

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.

• Texas Star Orthopedic Institute, LLC

  • Orthopaedic Surgery Physician
  • Plano, TX
  • NPI 1184285116
  Medicare reassignment Care Compare group

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

• Frisco Medical Center LLP

  • General Acute Care Hospital
  • Frisco, TX
  • NPI 1922002674
  Care Compare affiliation
• Star Medical Center, LLC

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1184057309
  Care Compare affiliation

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1043974637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E 15TH ST APT 510",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745875",
            "telephone_number": "972-979-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5228 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935005",
            "telephone_number": "972-250-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCK",
        "first_name": "AMANDA",
        "middle_name": "SUZANNE ANUENUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA15075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "PA15075",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MRI Solutions II, LTD
• Mrs Neurosurgical Clinic
• MSW Health Enterprises
• Mua Associates, PA
• Jane Njeri Muchiri
• Malini Mudduluru, MD
• Mudita Sethi DMD PLLC
• Elisha Mudzana
• Theresa Mueller, NP
• Veronica Lee Mueller, D.D.S.

• Surgical Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.