Individual provider Active NPI

Amber Woodfield, PA

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1104828433
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00801 Issued in TX
Practice address
4674 McDermott Rd Ste 308
Plano, TX 75024-7797
Phone
(469) 703-5404
Fax
(972) 424-6211
NPI assigned
May 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00801 TX Primary

Addresses

Primary practice location

4674 McDermott Rd Ste 308
Plano, TX 75024-7797

Mailing address

4674 McDermott Rd Ste 308
Plano, TX 75024-7797
Phone (469) 703-5404

Other identifiers 2

IdentifierTypeStateIssuer
181012901MedicaidTX
8N3961OtherTXBCBS OF TEXAS

Other names 1

  • Amber Shamagne Woodfield Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040422001223 TX Practitioner - Physician Assistant 5890781074 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00801TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Comprehensive Medical Center PA CurrentSince Jan 1, 2026 Accepting new patients
Suzanne E Monday MD Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
Horizon Senior Care Inc PastSince Jul 18, 2011 Accepting new patients

Locations

4674 McDermott Rd
Ste 308
Plano, TX 75024
Phone (469) 607-1900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCJJDD/Endpoint/HCJJDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1104828433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 MCDERMOTT RD STE 308",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247797",
            "telephone_number": "469-703-5404",
            "fax_number": "972-424-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4674 MCDERMOTT RD STE 308",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247797",
            "telephone_number": "469-703-5404",
            "fax_number": "972-424-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODFIELD",
        "first_name": "AMBER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181012901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8N3961",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "WOODFIELD",
            "middle_name": "SHAMAGNE",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.