Amanda L Persons, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

018156 Issued in NY

Practice address

14214 Church Street
Harrisville, NY 13648

Phone

(315) 537-5041

Fax

(315) 537-5037

NPI assigned

Oct 10, 2014

Last updated

Sep 12, 2024By 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 names 1

• Amanda L Hewlett Former name

Medicare fee-for-service enrollment

Enrolled in NY

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lewis CountyGroup PAC ID 2668463779, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lewis County General Hospital Chha Home health agency, Lowville, NY, CCN 337136
• Health Services of Northern New York Inc Chha Home health agency, Potsdam, NY, CCN 337256
• Lewis County General Hospital Hospital, Lowville, NY, CCN 331317
• Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amandaltaylor@hiemail.healtheconnections.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.

• Lewis County General Hospital

  • Family Medicine Physician
  • Beaver Falls, NY
  • NPI 1790857308
  Medicare reassignment Care Compare group NPD
• Healey Medical Practice, PLLC

  • Family Medicine Physician
  • Canton, NY
  • NPI 1457568792
  Medicare reassignment
• Lewis County

  • Public Health or Welfare Agency
  • Lowville, NY
  • NPI 1114659778
  NPD
• Lewis County

  dba Lewis County General Hospital

  • Rural Acute Care Hospital
  • Lowville, NY
  • NPI 1487689402
  NPD (past)

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

• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388
  Care Compare affiliation
• Carthage Area Hospital, Inc.

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1104234376
  Care Compare affiliation
• Health Services of Northern New York

  • Home Health Agency
  • Potsdam, NY
  • NPI 1952407033
  Care Compare affiliation
• Lewis County

  dba Lewis County General Hospital

  • Rural Acute Care Hospital
  • Lowville, NY
  • NPI 1487689402
  Care Compare affiliation
• Lewis County General Hospital

  dba LCGH Certified Home Health Care Agency

  • Home Health Agency
  • Lowville, NY
  • NPI 1457402505
  Care Compare affiliation
• Lewis County General Hospital

  • Critical Access Hospital
  • Lowville, NY
  • NPI 1619390838
  Care Compare affiliation

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1316341902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14214 CHURCH STREET",
            "city": "HARRISVILLE",
            "state": "NY",
            "postal_code": "13648",
            "telephone_number": "315-537-5041",
            "fax_number": "315-537-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14214 CHURCH STREET",
            "city": "HARRISVILLE",
            "state": "NY",
            "postal_code": "13648",
            "telephone_number": "315-537-5041",
            "fax_number": "315-537-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSONS",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HEWLETT",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carthage Area Hospital Inc
• Carthage Area Hospital Inc.
• Harrisville Central School
• Harrisville Rescue Squad Inc
• Regina Rose Panetti, LMT
• Michelle Spencer
• Stacey Lynn Zeigler, PT

• Physician Assistant in Harrisville, NY
• Providers in Harrisville, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.