Amy L Horner, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2011026854 Issued in MO

Practice address

1419 Village Dr
Saint Joseph, MO 64506-2459

Phone

(816) 364-1507

Fax

(816) 364-5711

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amy L Walsh Former name

Medicare fee-for-service enrollment

Enrolled in MO, FL2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Melody L Stone MD PA 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harrison County Community Hospital Hospital, Bethany, MO, CCN 261312
• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006

Merit-based Incentive Payment System (MIPS)

Final score

84.91 of 100Reported as group

Quality

80.11

Promoting interoperability

97

Improvement activities

40

Cost

72.09

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Melody L Stone MD PA

  • MOHS-Micrographic Surgery Physician
  • Saint Joseph, MO
  • NPI 1740358159

  MO

  Medicare reassignment Care Compare group
• Visage Dermatology, LLC

  • Specialist
  • St Petersburg, FL
  • NPI 1932200045

  FL

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Harrison County Community Hospital District

  • Critical Access Hospital
  • Bethany, MO
  • NPI 1528062569

  Hospital

  Care Compare affiliation
• Heartland Regional Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1164430740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062459",
            "telephone_number": "816-364-1507",
            "fax_number": "816-364-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062459",
            "telephone_number": "816-364-1507",
            "fax_number": "816-364-5711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Miller St",
            "address_purpose": "LOCATION",
            "city": "Bethany",
            "state": "MO",
            "postal_code": "644242701",
            "country_code": "US",
            "telephone_number": "660-562-7546",
            "fax_number": "660-562-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5253 Central Ave",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337108141",
            "country_code": "US",
            "telephone_number": "727-388-6982",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2617 Burris Rd",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644683607",
            "country_code": "US",
            "telephone_number": "660-562-7546",
            "fax_number": "660-562-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNER",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2011026854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "9118676",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "WALSH",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Saint Joseph, MO
• Medical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.

Verify at the official NPI Registry.