Amy M Folsom, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2000150362 Issued in MO

Practice address

102 Hospitality Dr
Sikeston, MO 63801-9382

Phone

(573) 471-0200

Fax

(573) 471-7559

NPI assigned

Oct 12, 2006

Last updated

Mar 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Missouri Delta Medical Center

  • Internal Medicine Physician
  • Sikeston, MO
  • NPI 1508967860
  Medicare reassignment Care Compare group NPD
• Missouri Delta Medical Center

  dba Delta Regional Pharmacy

  • Community/Retail Pharmacy
  • Malden, MO
  • NPI 1578371621
  NPD
• Nephrology Associates, PC

  • Nephrology Physician
  • Poplar Bluff, MO
  • NPI 1922289693
  NPD (past)
• Renal Care Group of the Midwest, Inc.

  dba Fresenius Kidney Care Cape Girardeau

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cape Girardeau, MO
  • NPI 1992817894
  NPD (past)

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

• Missouri Delta Medical Center

  • General Acute Care Hospital
  • Sikeston, MO
  • NPI 1831269539
  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1053400457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HOSPITALITY DR",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638019382",
            "telephone_number": "573-471-0200",
            "fax_number": "573-471-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HOSPITALITY DR",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638019382",
            "telephone_number": "573-471-0200",
            "fax_number": "573-471-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2000150362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ferguson Medical Group
• Ferguson Medical Group
• Ferguson Medical Group Rural Health Center Inc.
• First Choice Healthcare PC
• Fisher Family Home Care LLC
• Douglas S. Foltz, DPM
• Kelley D. Foltz, DPM
• Kellee Marie Foote, LCSW
• Lisa Anne Foote, MS OTR/L
• Alexa Fornkohl

• Medical Physician Assistant in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Medical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.