Individual provider Active NPI

Amee Minton Rozanc, PA-C

  • Physician Assistant
  • O'Fallon, MO
National Provider Identifier
1255516134
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2003004582 Issued in MO
Practice address
9209 Phoenix Village Pkwy
O Fallon, MO 63368-4280
Phone
(636) 561-4613
Fax
(636) 561-4610
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2003004582 MO Primary

Addresses

Primary practice location

9209 Phoenix Village Pkwy
O Fallon, MO 63368-4280

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9016

Other names 1

  • Miss Amee Minton Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Amee.Rozanc@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080219000260 MO Practitioner - Physician Assistant 7810070570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1223 Maple St
Farmington, MO 63640-7616
Phone (573) 760-0091

12855 N 40 Dr
Suite 180
Saint Louis, MO 63141-8657
Phone (314) 878-5599

1800 Wentzville Pkwy
Wentzville, MO 63385-3817
Phone (636) 200-9220

9209 Phoenix Village Pkwy
O Fallon, MO 63368-4280
Phone (636) 561-4613

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Sep 1, 2015 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Sep 1, 2015 Accepting new patients
St. Louis Dermatology and Surgery Center, PC Current Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

1223 Maple St
Farmington, MO 63640
Phone (573) 760-0091

9209 Phoenix Village Pkwy
O Fallon, MO 63368
Phone (636) 474-3376

5551 Winghaven Blvd
Ste 210
O Fallon, MO 63368
Phone (636) 561-4613

12855 N 40 Dr
Ste 180
Saint Louis, MO 63141
Phone (314) 878-5599

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: amee.rozanc@forefrontdermatology.emadirect.md

Organizations & group practices 5

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1255516134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9016",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 PHOENIX VILLAGE PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684280",
            "telephone_number": "636-561-4613",
            "fax_number": "636-561-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZANC",
        "first_name": "AMEE",
        "middle_name": "MINTON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2003004582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amee.Rozanc@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "9209 Phoenix Village Pkwy",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633684280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMEE",
            "last_name": "MINTON",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.