Individual provider Active NPI

Amber D Fowler, M.D.

  • MOHS-Micrographic Surgery Physician
  • Mount Vernon, WA
National Provider Identifier
1093733495
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD00046521 Issued in WA
Practice address
1600 Continental PL
Suite # 101
Mount Vernon, WA 98273-5607
Phone
(360) 336-3026
Fax
(360) 428-4227
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD00046521 WA
MOHS-Micrographic Surgery Physician 207ND0101X MD00046521 WA Primary

Addresses

Primary practice location

1600 Continental PL
Suite # 101
Mount Vernon, WA 98273-5607

Mailing address

1600 Continental PL
Suite # 101
Mount Vernon, WA 98273-5607
Phone (360) 336-3026

Other identifiers 1

IdentifierTypeStateIssuer
MD00046521OtherWASTATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061004000156 WA Practitioner - Dermatology 2769487354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

1600 Continental PL
Suite 101
Mount Vernon, WA 98273-5607
Phone (360) 336-3026

Hospital & facility affiliations

  • Island Hospital Hospital, Anacortes, WA, CCN 500007

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision205
Removal of tissue1-10
Removal of skin lesions5496
Removal or shaving of skin growth307
Skin biopsy1266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00046521WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC Dermatology CurrentSince Apr 1, 2021 Accepting new patients

Locations

3110 Commercial Ave
Ste 105
Anacortes, WA 98221
Phone (360) 336-3026

1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628

1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500

1600 Continental Pl
Ste 10
Mount Vernon, WA 98273

1600 Continental Pl
Mount Vernon, WA 98273
Phone (360) 336-3026

1600 Continental Pl
Ste 101
Mount Vernon, WA 98273
Phone (360) 336-3026

11011 Meridian Ave N
Ste 102
Seattle, WA 98133
Phone (206) 859-5777

Interoperability endpoints

  • Direct secure messaging: afowler@frontierdermpartners.emadirect.md

Organizations & group practices 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1093733495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CONTINENTAL PL",
            "address_2": "SUITE # 101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735607",
            "telephone_number": "360-336-3026",
            "fax_number": "360-428-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CONTINENTAL PL",
            "address_2": "SUITE # 101",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735607",
            "telephone_number": "360-336-3026",
            "fax_number": "360-428-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "AMBER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00046521",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD00046521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MD00046521",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.