Active NPI
Amanda Palmer
- Physician Assistant
- New Braunfels, TX
National Provider Identifier
1467018895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12662
- Practice address
- 169 S Ih 35 Ste 169
New Braunfels, TX 78130-4817 - Phone
- (830) 620-9429
- NPI assigned
- May 10, 2019
- Last updated
- Jul 10, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12662 | TX | Primary |
Addresses
Primary practice location
169 S Ih 35 Ste 169
New Braunfels, TX 78130-4817
Mailing address
169 S Ih 35 Ste 169
New Braunfels, TX 78130-4817
Phone (830) 620-9429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1367 Dominion PLZ
Tyler, TX 75703-1013
Phone (903) 534-6200
18382 FM
306 Suite 105
Canyon Lake, TX 78133-4373
Phone (830) 226-4037
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba U.S. Dermatology Partners
- Dermatology Physician
- Dallas, TX
- NPI 1457695413
-
- Procedural Dermatology Physician
- Live Oak, TX
- NPI 1053723239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1467018895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 S IH 35 STE 169",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781304817",
"telephone_number": "830-620-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 S IH 35 STE 169",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781304817",
"telephone_number": "830-620-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-10",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA12662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.