Active NPI
Amy Elizabeth Jackson, PA C
- Surgical Physician Assistant
- Seymour, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 10000733A
- Practice address
- 1124 Medical PL
Seymour, IN 47274-2640 - Phone
- (812) 523-5185
- Fax
- (812) 523-3826
- NPI assigned
- Jul 1, 2005
- Last updated
- Jun 5, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 10000733A | IN | Primary |
Addresses
Primary practice location
1124 Medical PL
Seymour, IN 47274-2640
Mailing address
1124 Medical PL
Seymour, IN 47274-2640
Phone (812) 522-1613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1124 Medical PL
Seymour, IN 47274-2640
Phone (812) 522-1613
1130 Medical PL
Seymour, IN 47274-2640
Phone (812) 519-1552
200 S Walnut St
Schneck Medical Center
Seymour, IN 47274-2312
Phone (812) 522-2349
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.97 of 100
- Quality
- 85.1
- Promoting interoperability
- 94.69
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000733A | IN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Schneck Memorial Hospital | Current | Accepting new patients | |
| Jackson County Schneck Memorial Hospital | Current | Accepting new patients | |
| Seymour Indiana Pathologists, Inc | Past | Accepting new patients | |
| Jackson County Schneck Memorial Hospital | Past | Accepting new patients |
Locations
806 W Commerce St
Brownstown, IN 47220
Phone (812) 358-2400
1001 N Grant St
Lebanon, IN 46052
Phone (765) 482-6400
1124 Medical Pl
Seymour, IN 47274
Phone (812) 519-1552
1130 Medical Pl
Seymour, IN 47274
Phone (812) 519-1552
200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
411 W Tipton St
Fl 4
Seymour, IN 47274
Phone (812) 523-5862
411 W Tipton St
Ste 4
Seymour, IN 47274
Organizations & group practices 4
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.
-
dba Schneck Medical Center
- Anesthesiology Physician
- Seymour, IN
- NPI 1629143037
-
dba Schneck Medical Center
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
-
dba Schneck Primary Care
- Rural Health Clinic/Center
- Seymour, IN
- NPI 1295310753
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Schneck Medical Center
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1699772954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 MEDICAL PL",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742640",
"telephone_number": "812-522-1613",
"fax_number": "812-522-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 MEDICAL PL",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742640",
"telephone_number": "812-523-5185",
"fax_number": "812-523-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-01",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "IN",
"license": "10000733A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
- Jackson County Schneck Memorial Hospital (Schneck Medical Center Hospice)
- Jackson County Schneck Memorial Hospital (Schneck Obstetrics and Gynecology)
- Jackson County Schneck Memorial Hospital (Schneck Pediatric and Adult Medicine)
- Jackson County Schneck Memorial Hospital (Covered Bridge Health Campus)
- Jackson Park Physicians, PC
- Elizabeth Anne Jackson, FNP
- Michael L Jackson, MD
- Jeffrey E. Schulz, M.D, P.C.
- Makayla Jessie
- John D Hiester, DDS, MSD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.