Active NPI
Amy L Rau, PA-C
- Medical Physician Assistant
- Indianapolis, IN
National Provider Identifier
1063435865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10000888A
- Practice address
- 2001 W 86TH St
Indianapolis, IN 46260 - Phone
- (317) 338-2121
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | |||
| Physician Assistant | 363A00000X | 50.002797 | OH | |
| Medical Physician Assistant | 363AM0700X | 10000888A | IN | Primary |
Addresses
Primary practice location
2001 W 86TH St
Indianapolis, IN 46260
Mailing address
6625 Lowanna Way
Indianapolis, IN 46220-4364
Phone (513) 846-0521
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000947608 | Other | IN | ANTHEM PIN |
| 037870016 | Other | IN | MEDICARE ST. VINCENT |
Other names 1
- Amy L Snyder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.002797 | OH | MD | Physician Assistant |
| 10000888A | IN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Emergency Physicians, Inc. | Current | Accepting new patients | |
| Indiana Physician Management-Northeast, LLC | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients | |
| Indiana Emergency Solutions LLC | Past | Accepting new patients |
Locations
4685 Reliable Pkwy
Chicago, IL 60686
13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
Organizations & group practices 4
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Fishers, IN
- NPI 1740431576
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1306891700
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1255691424
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1063435865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6625 LOWANNA WAY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462204364",
"telephone_number": "513-846-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46260",
"telephone_number": "317-338-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAU",
"first_name": "AMY",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.002797",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IN",
"license": "10000888A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000947608",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ST. VINCENT",
"identifier": "037870016",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "SNYDER",
"middle_name": "L",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.