Active NPI
Amy Marie Bates, PA-C
- Physician Assistant
- York, PA
National Provider Identifier
1609196443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA054368
- Practice address
- 924 Colonial Ave Ste M
York, PA 17403-3450 - Phone
- (717) 845-4846
- Fax
- (717) 845-5181
- NPI assigned
- Jun 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | MA054368 | PA | Primary |
Addresses
Primary practice location
924 Colonial Ave Ste M
York, PA 17403-3450
Mailing address
7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1O6395 | Other | PA | MEDICARE |
| 1036653090001 | Medicaid | PA |
Other names 1
- Amy Marie Hake
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100628000176 | PA | Practitioner - Physician Assistant | 3375674856 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family Practice Center PC
Practice addresses (Care Compare)
1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889
2813 Industrial Park Rd
Mifflintown, PA 17059-9078
924 Colonial Ave
York, PA 17403-3450
Phone (717) 845-4846
Hospital & facility affiliations
- Wellspan Vna Home Care
- Bayada Home Health Care, Inc.
- Enhabit Home Health
- Wellspan York Hospital
- Upmc Memorial
- Gettysburg Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Center, PC | Multi-Specialty | Current | Accepting new patients |
Locations
7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123
924 Colonial Ave
Ste M
York, PA 17403
Phone (717) 845-4846
Interoperability endpoints
- amybatespac@fpc.medentdirect.com
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 and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Selinsgrove, PA
- NPI 1033322466
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- York, PA
- NPI 1649523168
-
- Home Health Agency
- Harrisburg, PA
- NPI 1699713503
-
- Home Health Agency
- Lemoyne, PA
- NPI 1710282777
-
- Home Health Agency
- York, PA
- NPI 1093109266
-
- Home Health Agency
- York, PA
- NPI 1437172301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1609196443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DOCK HILL RD",
"city": "MIDDLEBURG",
"state": "PA",
"postal_code": "178428910",
"telephone_number": "570-837-2123",
"fax_number": "570-837-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 COLONIAL AVE STE M",
"city": "YORK",
"state": "PA",
"postal_code": "174033450",
"telephone_number": "717-845-4846",
"fax_number": "717-845-5181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "AMY",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA054368",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1O6395",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1036653090001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "HAKE",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.