Amelia Moncho, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1144 Issued in OK

Practice address

3839 S Boulevard Ste 150
Edmond, OK 73013-5370

Phone

(405) 449-8076

Fax

(405) 674-1574

NPI assigned

Mar 2, 2006

Last updated

Sep 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Livewell Concierge Medicine

  • Family Medicine Physician
  • Edmond, OK
  • NPI 1578444691
  NPD Authorized official
• Modern Concierge Medicine

  • Family Medicine Physician
  • Edmond, OK
  • NPI 1316714603
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1205803863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 S BOULEVARD STE 150",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135370",
            "telephone_number": "405-449-8076",
            "fax_number": "405-674-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 S BOULEVARD STE 150",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135370",
            "telephone_number": "405-449-8076",
            "fax_number": "405-674-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCHO",
        "first_name": "AMELIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "PA1144",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200046120A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra C. Mold, L.P.C.
• Alyssa Justine Molina
• Karime Molinar, RN
• Momentum Behavioral Solutions
• Emma Rose Marie Monasterial
• Davidson C Monroe, LPC CANDIDATE
• Natasha V Monta
• Ashley Montgomery, M.A. CCC-SLP
• Elizabeth Montgomery, P.A
• Tate Montgomery, DDS

• Medical Physician Assistant in Edmond, OK
• Providers in Edmond, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.