Amy Lynn Edwards, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02832 Issued in TX

Practice address

1405 W Jefferson St
Waxahachie, TX 75165-2231

Phone

(972) 923-7178

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Surgical Hospital at Sherma Hospital, Sherman, TX, CCN 670076

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Oliver Street 5.01(a) Inc.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413
  Medicare reassignment Care Compare group
• Bruce Carpenter MD

  • Family Medicine Physician
  • Glen Rose, TX
  • NPI 1699956722
  NPD (past)
• Dermatology Associates

  • Dermatology Physician
  • Houston, TX
  • NPI 1356523039
  NPD (past)
• Ellis Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Waxahachie, TX
  • NPI 1902856107
  NPD (past)
• Innovative Emergency Medicine PA

  • Emergency Medicine Physician
  • Frisco, TX
  • NPI 1740239763

  Physician Assistant

  NPD (past)
• Psychiatric Consultants of Ft Worth PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ft Worth, TX
  • NPI 1093904385
  NPD (past)
• Texoma Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Denison, TX
  • NPI 1871880211
  NPD (past)

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

• Heritage Park Surgical Hospital LLC

  • General Acute Care Hospital
  • Sherman, TX
  • NPI 1235510090
  Care Compare affiliation

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1497764260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 CALVERT RD",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762266452",
            "telephone_number": "972-922-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W JEFFERSON ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652231",
            "telephone_number": "972-923-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281894003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANTS",
            "identifier": "PA02832",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281894001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281894002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Hanks Ebner, PA-C
• Demetria Danielle Polk Echols, M. ED
• Eclipse Clinic PLLC
• Edward Lee Holt, DO, P.a.
• Edward Lee Holt, DO, P.a.
• Danielle Eichhorst
• Eirini Kai Agapi
• James Adair Elliott, DDS
• Ellis County Children'S Advocacy Center
• Ellis County Coalition for Health Options

• Physician Assistant in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.

Verify at the official NPI Registry.