Individual provider Active NPI

Amber Nicole Paski, MD

  • General Practice Physician
  • Eglin AFB, FL
National Provider Identifier
1689467177
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DR.0078628 Issued in CO
Practice address
96TH Medical Group
307 Boatner Road, Suite 114
Eglin AFB, FL 32542
Phone
(850) 883-8655
NPI assigned
May 27, 2025
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X DR.0078628 CO Primary

Addresses

Primary practice location

96TH Medical Group
307 Boatner Road, Suite 114
Eglin AFB, FL 32542

Mailing address

96TH Medical Group
307 Boatner Road, Suite 114
Eglin AFB, FL 32542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1689467177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96TH MEDICAL GROUP",
            "address_2": "307 BOATNER ROAD, SUITE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "32542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96TH MEDICAL GROUP",
            "address_2": "307 BOATNER ROAD, SUITE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "32542",
            "telephone_number": "850-883-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASKI",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "DR.0078628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eglin AFB, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.