Individual provider Active NPI

Amanda Moore, PA

  • Medical Physician Assistant
  • Hutchinson, KS
National Provider Identifier
1528291549
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2020 N Waldron St Ste 105
Hutchinson, KS 67502-1145
Phone
(620) 513-4870
NPI assigned
Aug 25, 2009
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

2020 N Waldron St Ste 105
Hutchinson, KS 67502-1145

Mailing address

2020 N Waldron St Ste 105
Hutchinson, KS 67502-1145
Phone (620) 513-4870

Other names 1

  • Amanda Ginther Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20100608000644 KS Practitioner - Physician Assistant 7810027414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 E 23Rd Ave
Hutchinson, KS 67502-1105

1701 E 23Rd Ave
Hutchinson, KS 67502-9907

2020 N Waldron St
Suite 105
Hutchinson, KS 67502-1145
Phone (620) 513-4870

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Pathology Associates, LLC Current Accepting new patients
Hutchinson Clinic, P.a., Inc. CurrentSince Jan 23, 2010 Accepting new patients
Hutchinson Clinic, P.a., Inc. Current Accepting new patients
Heartland Radiation Oncology Current Accepting new patients
Hutchinson Clinic, PA, Inc. CurrentSince Jan 23, 2010 Accepting new patients

Locations

2101 N Waldron St
Hutchinson, KS 67502
Phone (620) 669-2500

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

2020 N Waldron St
Ste 105
Hutchinson, KS 67502
Phone (620) 513-4870

Interoperability endpoints

  • Direct secure messaging: amanda.moore.1@19896.direct.athenahealth.com

Organizations & group practices 6

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 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": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1528291549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N WALDRON ST STE 105",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021145",
            "telephone_number": "620-513-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N WALDRON ST STE 105",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021145",
            "telephone_number": "620-513-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMANDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GINTHER",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.