Amy L. Tibbits, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2064-023 Issued in WI

Practice address

731 Clay St
Darlington, WI 53530-1225

Phone

(608) 776-4497

Fax

(608) 776-2317

NPI assigned

Nov 20, 2006

Last updated

Oct 10, 2023By 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 1

Addresses

Other identifiers 1

Other names 1

• Amy L Luther Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lafayette CountyGroup PAC ID 9436054772, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lafayette Hospital and Clinics Hospital, Darlington, WI, CCN 521312
• Southwest Health Center Hospital, Platteville, WI, CCN 521354

Merit-based Incentive Payment System (MIPS)

Final score

80.26 of 100Reported as group

Quality

92.24

Promoting interoperability

100

Improvement activities

40

Cost

41.97

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: atibbits263719@direct-ehr-ssmhc.com
• Direct secure messaging: atibbits264230@direct.unitypoint.org

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.

• Lafayette County

  dba Lafayette Hospital and Clinics

  • Critical Access Hospital
  • Darlington, WI
  • NPI 1114987054
  Medicare reassignment Care Compare group NPD
• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793
  Medicare reassignment NPD
• Emergency Medicine Associates of Madison, SC

  • Emergency Medicine Physician
  • Madison, WI
  • NPI 1235119769
  Medicare reassignment
• Lafayette County

  dba Emergency Medical Services of Lafayette County

  • Land Ambulance
  • Darlington, WI
  • NPI 1427648526
  NPD
• Southwest Health Center, Inc.

  dba Southwest Health Cuba City Clinic

  • Rural Health Clinic/Center
  • Cuba City, WI
  • NPI 1316324429
  NPD
• Southwest Health Center, Inc.

  dba Southwest Health Darlington Clinic

  • Optometrist
  • Darlington, WI
  • NPI 1811511272
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Lafayette County

  dba Lafayette Hospital and Clinics Primary Care Clinic Darlington

  • Rural Health Clinic/Center
  • Darlington, WI
  • NPI 1093232878
  NPD (past)
• Lafayette County

  dba Lafayette Hospital and Clinics Primary Care Clinic Shullsburg

  • Rural Health Clinic/Center
  • Shullsburg, WI
  • NPI 1285150045
  NPD (past)
• Lafayette County

  dba Lafayette Hospital and Clinics

  • Emergency Medicine Physician
  • Darlington, WI
  • NPI 1326214768
  NPD (past)

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

• Lafayette County

  dba Lafayette Hospital and Clinics

  • Critical Access Hospital
  • Darlington, WI
  • NPI 1114987054
  Care Compare affiliation
• Lafayette County

  dba Lafayette Hospital and Clinics

  • Medicare Defined Swing Bed Hospital Unit
  • Darlington, WI
  • NPI 1689787954
  Care Compare affiliation
• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793
  Care Compare affiliation

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1295809564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CLAY ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301228",
            "telephone_number": "608-776-4497",
            "fax_number": "608-776-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 CLAY ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301225",
            "telephone_number": "608-776-4497",
            "fax_number": "608-776-2317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151507",
            "country_code": "US",
            "telephone_number": "608-267-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Eastside Rd",
            "address_purpose": "LOCATION",
            "city": "Platteville",
            "state": "WI",
            "postal_code": "538189800",
            "country_code": "US",
            "telephone_number": "608-348-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIBBITS",
        "first_name": "AMY",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2064-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2064-023",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ATIBBITS263719@DIRECT-EHR-SSMHC.COM",
            "affiliation": "Y",
            "affiliationName": "Southwest Health Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ATIBBITS263719@DIRECT-EHR-SSMHC.COM",
            "address_1": "1400 Eastside Rd",
            "city": "Platteville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "538189800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LUTHER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel M. Stormont, M.D.
• Emily Stormont, LCSW
• Lucas Adam Suthers, APNP
• Melinda Thomas, PAC
• Amy Thompson
• Gregory Jacob Tulachka, D.D.S., M.S.
• Darci Ann Weber, MSE,LPC-IT,SAC-IT
• Kailee M Whalen, OTD
• Mitchell Whalen
• Michael A White, LPC

• Physician Assistant in Darlington, WI
• Providers in Darlington, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.