Individual provider Active NPI

Amanda Lynn Simonton, PA-C

  • Medical Physician Assistant
  • Perry Hall, MD
National Provider Identifier
1295822682
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0003382 Issued in MD
Practice address
9605 Redwing Dr
Perry Hall, MD 21128-9392
Phone
(410) 303-5068
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0003382 MD Primary

Addresses

Primary practice location

9605 Redwing Dr
Perry Hall, MD 21128-9392

Mailing address

9605 Redwing Dr
Perry Hall, MD 21128-9392
Phone (410) 303-5068

Other names 1

  • Mrs. Amanda Lynn Simonton Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20080326000949 MD Practitioner - Physician Assistant 8224114590 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (410) 554-6550

3333 N Calvert St
Baltimore, MD 21218-2867
Phone (410) 261-8500

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 28, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 28, 2024 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Caton Emergency Physicians Past Accepting new patients
Maryland Provo-I Medical Services, PC Past Accepting new patients
Champion Emergency Physicians LLC Past Accepting new patients

Locations

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Interoperability endpoints

  • Direct secure messaging: asimonton651834@direct.umm.edu

Organizations & group practices 9

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1295822682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9605 REDWING DR",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289392",
            "telephone_number": "410-303-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9605 REDWING DR",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289392",
            "telephone_number": "410-303-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONTON",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SIMONTON",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Perry Hall, MD

Sources for this page

Verify at the official NPI Registry.