Individual provider Active NPI

Amy Gruber, PA-C

  • Physician Assistant
  • Fairmont, WV
National Provider Identifier
1659626117
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1325 Locust Ave
Fairmont, WV 26554-1435
Phone
(304) 367-7541
NPI assigned
Jul 19, 2012
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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 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, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171229000747 MI Practitioner - Physician Assistant 4880841576 Reassigns benefits to 9 organizations
I20251217004752 CA Practitioner - Physician Assistant 4880841576 Reassigns benefits to 1 organization
I20260523000424 IA Practitioner - Physician Assistant 4880841576 Reassigns benefits to 1 organization

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
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
Portage Physician Practices IncGroup PAC ID 6103053509, shared by 3 NPIs, 56 clinicians

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

LicenseStateTypeSpecialty
65570CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oryx Men's Health LLC Medical Current Accepting new patients
Aspirus Ironwood Hospital & Clinics Inc. CurrentSince Mar 19, 2026 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Dec 1, 2025 Accepting new patients
Psychiatry Associates of Wyoming Current Accepting new patients
Northern Michigan Emergency Physicians, LLP Physician Assistant CurrentSince Oct 3, 2023 Accepting new patients
Summit Virtual Health LLC Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Mar 19, 2026 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Mar 19, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Northern Michigan Emergenc Physicians, LLP Physician Assistant CurrentSince Oct 3, 2023 Accepting new patients
McLaren Hospital Group CurrentSince Jan 17, 2026 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.

View all 19

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.