Individual provider Active NPI

Amy Treager, PA-C

  • Physician Assistant
  • Newport News, VA
National Provider Identifier
1396293569
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006163 Issued in VA
Practice address
12200 Warwick Blvd Ste 410
Newport News, VA 23601-2548
Phone
(757) 534-5200
Fax
(757) 534-5830
NPI assigned
Sep 16, 2016
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 0110006163 VA Primary

Addresses

Primary practice location

12200 Warwick Blvd Ste 410
Newport News, VA 23601-2548

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180706001865 VA Practitioner - Physician Assistant 3072801315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

120 Kings Way
Williamsburg, VA 23185-2511

12200 Warwick Blvd
Newport News, VA 23601-2548

19339 Benns Grant Blvd
Smithfield, VA 23430-6393
Phone (757) 674-8000

19375 Benns Grant Blvd
Smithfield, VA 23430-6393
Phone (757) 534-5688

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

856 J Clyde Morris Blvd
Newport News, VA 23601-1318

856 J Clyde Morris Blvd a
Newport News, VA 23601-1318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008114GAMDOral and Maxillofacial Surgery (Dentist)
0110006163VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Oct 5, 2020 Accepting new patients
Riverside Physician Services Inc CurrentSince Oct 5, 2020 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

12200 Warwick Blvd
Ste 410
Newport News, VA 23601
Phone (757) 534-5200

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

Interoperability endpoints

  • Direct secure messaging: atreager431927@direct.sentara.net

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1396293569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 WARWICK BLVD STE 410",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236012548",
            "telephone_number": "757-534-5200",
            "fax_number": "757-534-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREAGER",
        "first_name": "AMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.