Active NPI
Amy B Margolis, PA-C
- Surgical Physician Assistant
- Bend, OR
National Provider Identifier
1144292582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA216394
- Practice address
- 2195 NW Shevlin Park Rd
Bend, OR 97703-7102 - Phone
- (541) 706-3843
- Fax
- (541) 278-8375
- NPI assigned
- Feb 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 60026246 | WA | |
| Surgical Physician Assistant | 363AS0400X | PA216394 | OR | Primary |
Addresses
Primary practice location
2195 NW Shevlin Park Rd
Bend, OR 97703-7102
Mailing address
PO Box 1517
Pendleton, OR 97801-0410
Phone (541) 278-4332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144292582 | Medicaid | WA |
Other names 1
- Amy Seidensticker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Oregon Health Sciences University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 NE Neff Rd
Suite a
Bend, OR 97701-6752
Phone (541) 389-3300
354 W Adams Ave
Sisters, OR 97759-2619
Phone (541) 549-9609
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 60026246 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Praxis Health, PC | Current | Accepting new patients | |
| Praxis Health, PC | Medical | Current | Accepting new patients |
| St. Charles Health System, Inc. | Past | Accepting new patients | |
| Praxis Health LLC | Past | Accepting new patients | |
| Advanced Healthcare SC | Past | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Past | Accepting new patients |
Locations
2195 NW Shevlin Park Rd
Bend, OR 97703
Phone (541) 706-3843
2195 NW Shevlin Park Rd
Ste 100
Bend, OR 97703
Phone (541) 706-3819
Organizations & group practices 7
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.
-
dba East Cascade Women's Group
- Obstetrics & Gynecology Physician
- Bend, OR
- NPI 1770541609
-
dba St. Charles Medical Center - Bend
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1154371847
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
dba Community Health and Rehabiltation Center
- Physical Therapist
- Chelsea, MA
- NPI 1063580983
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NW High Desert Sleep Center Bend
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1144292582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1517",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978010410",
"telephone_number": "541-278-4332",
"fax_number": "541-278-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 NW SHEVLIN PARK RD",
"city": "BEND",
"state": "OR",
"postal_code": "977037102",
"telephone_number": "541-706-3843",
"fax_number": "541-278-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGOLIS",
"first_name": "AMY",
"middle_name": "B",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA 60026246",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OR",
"license": "PA216394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144292582",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "SEIDENSTICKER",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.
- 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.