Active NPI
Amy Gruber, PA-C
- Physician Assistant
- Fairmont, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1325 Locust Ave
Fairmont, WV 26554-1435 - Phone
- (304) 367-7541
- NPI assigned
- Jul 19, 2012
- Last updated
- Nov 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | IA | Primary | |
| Medical Physician Assistant | 363AM0700X | WV |
Addresses
Primary practice location
1325 Locust Ave
Fairmont, WV 26554-1435
Mailing address
PO Box 121
Baxter, WV 26560-0121
Phone (616) 322-5479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Portage Physician Practices Inc
Practice addresses (Care Compare)
2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500
500 Campus Dr
Hancock, MI 49930-1452
921 W Sharon Ave
Houghton, MI 49931-1921
Phone (906) 483-1777
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65570 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oryx Men's Health LLC | Medical | Current | Accepting new patients |
| Aspirus Ironwood Hospital & Clinics Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates of California, PC | Current | Accepting new patients | |
| Psychiatry Associates of Wyoming | Current | Accepting new patients | |
| Northern Michigan Emergency Physicians, LLP | Physician Assistant | Current | Accepting new patients |
| Summit Virtual Health LLC | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Northern Michigan Emergenc Physicians, LLP | Physician Assistant | Current | Accepting new patients |
| McLaren Hospital Group | Current | Accepting new patients | |
| Michael L Ferrebee, M.D., PLLC | Past | Accepting new patients | |
| Portage Hospital LLC | Past | Accepting new patients |
Locations
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
29980 Network Pl
Chicago, IL 60673
75 Remit Dr
Chicago, IL 60675
3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 19
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.
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Critical Access Hospital
- Ironwood, MI
- NPI 1649297342
-
- Emergency Medicine Physician
- Escanaba, MI
- NPI 1417972183
Physician Assistant
-
- General Practice Physician
- San Francisco, CA
- NPI 1124685169
-
- Clinic/Center
- West Hollywood, CA
- NPI 1477343648
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
-
- Emergency Medicine Physician
- Cadillac, MI
- NPI 1447932504
-
- Emergency Medicine Physician
- Ottumwa, IA
- NPI 1477017663
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
- Emergency Medicine Physician
- Charlevoix, MI
- NPI 1073295135
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aspirus Eye Center - Iron River
- Ophthalmology Physician
- Iron River, MI
- NPI 1073293999
Hospital
-
dba Aspirus Hurley Clinic
- Rural Health Clinic/Center
- Hurley, WI
- NPI 1154434249
Hospital
-
dba Aspirus Eye Center Ironwood
- Ophthalmology Physician
- Ironwood, MI
- NPI 1609034099
Hospital
-
- Critical Access Hospital
- Ironwood, MI
- NPI 1649297342
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
Hospital
-
- Rural Acute Care Hospital
- Mt Pleasant, MI
- NPI 1619941317
-
- Rural Acute Care Hospital
- Grayling, MI
- NPI 1083010953
-
dba UP Health System Portage
- General Acute Care Hospital
- Hancock, MI
- NPI 1245667229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1659626117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 121",
"city": "BAXTER",
"state": "WV",
"postal_code": "265600121",
"telephone_number": "616-322-5479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 LOCUST AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541435",
"telephone_number": "304-367-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBER",
"first_name": "AMY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WV",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.