Active NPI
Jayleigh Amstutz
- Physician Assistant
- Morehead, KY
National Provider Identifier
1124869003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 222 Medical Cir
Morehead, KY 40351-1179 - Phone
- (606) 783-6500
- NPI assigned
- Jun 4, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
222 Medical Cir
Morehead, KY 40351-1179
Mailing address
222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241217000868 | KY | Practitioner - Physician Assistant | 6406383314 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Claire Medical Center Inc. | Physician Assistant | Current | Accepting new patients |
| St Claire Medical Center, Inc., | Physician Assistant | Current | Accepting new patients |
| St Claire Medical Center, Inc | Current | Accepting new patients | |
| Sprocket Medical Management LLC | Past | Accepting new patients |
Locations
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
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.
-
- General Acute Care Hospital
- Morehead, KY
- NPI 1821168535
KY, Physician Assistant
-
- Emergency Medicine Physician
- Morehead, KY
- NPI 1427188077
Physician Assistant
-
- Rural Health Clinic/Center
- Morehead, KY
- NPI 1477236487
-
- General Practice Physician
- Hobbs, NM
- NPI 1801859319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1124869003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 MEDICAL CIR",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511179",
"telephone_number": "606-783-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MEDICAL CIR",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511179",
"telephone_number": "606-783-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMSTUTZ",
"first_name": "JAYLEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morehead, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.