Individual provider Active NPI

Amanda Beyers, PA-C

  • Physician Assistant
  • Ocala, FL
National Provider Identifier
1376066084
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9110885 Issued in FL
Practice address
1234 SE Magnolia Ext Unit 1
Ocala, FL 34471-3778
Phone
(352) 401-1218
Fax
(352) 692-6954
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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 9110885 FL Primary

Addresses

Primary practice location

1234 SE Magnolia Ext Unit 1
Ocala, FL 34471-3778

Mailing address

2405 SE 17TH St Ste 201
Ocala, FL 34471-9190
Phone (352) 690-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180821001707 FL Practitioner - Physician Assistant 3971852120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Health Trauma LLCGroup PAC ID 2769632850, 17 clinicians

Practice addresses (Care Compare)

1234 SE Magnolia Extension
Unit 1
Ocala, FL 34471-3770
Phone (352) 629-7979

1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 401-1000

Hospital & facility affiliations

  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9110885FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Surgical Group LLC PastSince Aug 7, 2018 Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1376066084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SE 17TH ST STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719190",
            "telephone_number": "352-690-2171",
            "fax_number": "352-692-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 SE MAGNOLIA EXT UNIT 1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344713778",
            "telephone_number": "352-401-1218",
            "fax_number": "352-692-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYERS",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9110885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.