Active NPI
Amberlyn M Dillon, PA
- Physician Assistant
- Columbia, MO
National Provider Identifier
1306155080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14730
- Practice address
- 1 Hospital Dr
Columbia, MO 65201-5276 - Phone
- (573) 882-6003
- Fax
- (573) 884-5410
- NPI assigned
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14730 | TX | Primary |
| Physician Assistant | 363A00000X | 2010031963 | MO |
Addresses
Primary practice location
1 Hospital Dr
Columbia, MO 65201-5276
Mailing address
PO Box 7687
Columbia, MO 65205-7687
Phone (573) 882-2259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 43.55 of 100
- Quality
- 7.63
- Improvement activities
- 40
- Cost
- 81.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14730 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Regional Medical Center | Current | Accepting new patients | |
| Missouri Emergency Services, P.C. | Past | Accepting new patients | |
| Nevada Outpatient Services, PC | Past | Accepting new patients |
Locations
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
-
- Emergency Medicine Physician
- Granbury, TX
- NPI 1689443467
-
- Emergency Medicine Physician
- Longview, TX
- NPI 1114607611
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1376581900
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1134499049
-
- Health Service Clinic/Center
- Las Vegas, NV
- NPI 1790187391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1306155080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7687",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652057687",
"telephone_number": "573-882-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015276",
"telephone_number": "573-882-6003",
"fax_number": "573-884-5410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLON",
"first_name": "AMBERLYN",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-29",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14730",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2010031963",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.