Individual provider Active NPI

Amy Elizabeth Pollick, PA-C

  • Physician Assistant
  • East Stroudsburg, PA
National Provider Identifier
1497762264
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052873 Issued in PA
Practice address
200 Plaza CT
East Stroudsburg, PA 18301
Phone
(570) 420-6220
Fax
(570) 420-6221
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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 MA052873 PA Primary

Addresses

Primary practice location

200 Plaza CT
East Stroudsburg, PA 18301

Mailing address

2100 Mack Blvd FL 2
Allentown, PA 18103-5622
Phone (570) 426-2733

Other practice location 1

5 First Village Drive
Pinehurst, NC 28374
Phone (910) 295-6831

Other practice location 2

5 First Village Drive
Pinehurst, NC 28374
Phone (910) 295-6831

Other identifiers 2

IdentifierTypeStateIssuer
1031988300001MedicaidPA
504017PZPOtherPAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070316000048 PA Practitioner - Physician Assistant 1254434079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 Mack Blvd
Allentown, PA 18103-5622

Hospital & facility affiliations

  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
74.47
Promoting interoperability
86
Improvement activities
40
Cost
74.16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles K Herman MD PLLC CurrentSince Dec 14, 2025 Accepting new patients
Family Care Centers Inc. CurrentSince Jul 1, 2015 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2025 Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2100 Mack Blvd
Fl 2
Allentown, PA 18103

2100 Mack Blvd
Fl 4
Allentown, PA 18103

470 Sentry Pkwy E
Blue Bell, PA 19422
Phone (570) 350-6368

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

200 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 420-6220

500 Plaza Ct
Ofc Plz
East Stroudsburg, PA 18301
Phone (570) 420-2188

Organizations & group practices 5

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1497762264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 2",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622",
            "telephone_number": "570-426-2733",
            "fax_number": "570-426-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PLAZA CT",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-420-6220",
            "fax_number": "570-420-6221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 First Village Drive",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "28374",
            "country_code": "US",
            "telephone_number": "910-295-6831",
            "fax_number": "910-295-0244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 First Village Drive",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "28374",
            "country_code": "US",
            "telephone_number": "910-295-6831",
            "fax_number": "910-295-0244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLICK",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031988300001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "504017PZP",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.