Amanda Ann Roy, PA-C
Individual provider Active NPI Physician Assistant · Fossil, OR
NPI 1669816898 · NPPES record last updated Apr 18, 2013
Key facts
- NPI
- 1669816898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA161830 (OR)
- Practice address
- 712 Jay Street
Fossil, OR 97830 - Phone
- (541) 763-2725
- Fax
- (541) 763-2850
- NPI assigned
- Apr 18, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Good Shepherd Health Care System
Morrow County Health District
Practice addresses (Care Compare)
600 NW 11TH St
Suite E37
Hermiston, OR 97838-8604
Phone (541) 667-3400
9 PO Box
Heppner, OR 97836
PO Box
Suite 9
Heppner, OR 97836
Hospital & facility affiliations
- Pioneer Memorial Home Health
- Pioneer Memorial Hospital
- Good Shepherd Medical Center
- St Anthony Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.82 of 100
- Quality
- 64.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 47.05
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130522000213 | OR | Practitioner - Physician Assistant | 2264670843 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrow County Health District | Current |
Accepting new patients | |
| Morrow County Health District | Current |
Accepting new patients |
Interoperability endpoints
- aroy110714@direct.ochin.org
- aroy1585747@direct.lhs.org
- https://fhir-usa.unify.chbase.com/org/piohosp-eec6c5e3
- https://fhir-myrecord.cerner.com/r4/1c1bd3d4-4a26-4d40-b6ea-57e1e5c43016/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA161830 | OR | Yes |
Addresses
Primary practice location
712 Jay Street
Fossil, OR 97830
Mailing address
PO Box 307
712 Jay St
Fossil, OR 97830
Phone (541) 763-2725
Other providers in Fossil, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.