Individual provider Active NPI

Amy Kathleen Whitsa, PA-C

  • Physician Assistant
  • Salem, OR
National Provider Identifier
1487322921
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA207310 Issued in OR
Practice address
4999 Skyline Rd S
Salem, OR 97306-2878
Phone
(971) 332-8445
Fax
(503) 566-3469
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 PA207310 OR Primary

Addresses

Primary practice location

4999 Skyline Rd S
Salem, OR 97306-2878

Mailing address

PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119

Other practice location 1

925 Commercial St SE Ste 320
Salem, OR 97302-4173
Phone (503) 399-8105

Other names 1

  • Amy Kathleen Jamsa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20220302001562 OR Practitioner - Physician Assistant 6608260963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Praxis Health PCGroup PAC ID 8325941446, 174 clinicians

Practice addresses (Care Compare)

354 W Adams Ave
Sisters, OR 97759-2619
Phone (541) 549-9609

435 Lancaster Dr NE
Salem, OR 97301-4729
Phone (503) 585-6388

4999 Skyline Rd S
Suite 100
Salem, OR 97306-0001
Phone (503) 364-4005

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Family Medical Center Inc CurrentSince Jan 6, 2026 Accepting new patients
Willamette Family, Inc Past Accepting new patients

Locations

435 Lancaster Dr NE
Salem, OR 97301
Phone (503) 585-6388

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wfts/r4/
  • Direct secure messaging: salemendocrinology@praxismedicalgroup.directbygreenway.com

Organizations & group practices 3

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 2

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1487322921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 SKYLINE RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062878",
            "telephone_number": "971-332-8445",
            "fax_number": "503-566-3469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Commercial St SE Ste 320",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973024173",
            "country_code": "US",
            "telephone_number": "503-399-8105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITSA",
        "first_name": "AMY",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA207310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "JAMSA",
            "middle_name": "KATHLEEN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.