Individual provider Active NPI

Amber Yoder, PA-C

  • Physician Assistant
  • Warren, OH
National Provider Identifier
1164116471
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.008214RX Issued in OH
Practice address
2800 Pin Oak LN NW
Warren, OH 44481-9127
Phone
(724) 859-7033
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 50.008214RX OH Primary

Addresses

Primary practice location

2800 Pin Oak LN NW
Warren, OH 44481-9127

Mailing address

2800 Pin Oak LN NW
Warren, OH 44481-9127
Phone (724) 859-7033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230728000127 OH Practitioner - Physician Assistant 0345601084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quick Med Urgent Care LLCGroup PAC ID 5799016358, 49 clinicians

Practice addresses (Care Compare)

2005 Elm Rd NE
Warren, OH 44483-4003
Phone (330) 647-6800

3499 Belmont Ave
Youngstown, OH 44505-1807
Phone (330) 759-0085

421 S High St
Cortland, OH 44410-1437
Phone (330) 485-0670

Merit-based Incentive Payment System (MIPS)

Final score
76.8 of 100Reported as group
Quality
69.32
Improvement activities
40
Cost
78.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.008214RXOHMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: amber.yoder.1@19801.direct.athenahealth.com

Organizations & group practices 2

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1164116471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PIN OAK LN NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444819127",
            "telephone_number": "724-859-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PIN OAK LN NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444819127",
            "telephone_number": "724-859-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "AMBER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008214RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.