Amy Lynn Page, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03906 Issued in TX

Practice address

2001 Hutchins Ave
Suite C
Ballinger, TX 76821-4452

Phone

(325) 365-5737

Fax

(325) 365-2405

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Amy Lynn Probst Former name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ballinger Memorial Hospital District

  • Critical Access Hospital
  • Ballinger, TX
  • NPI 1225038938
  Medicare reassignment NPD
• Ballinger Memorial Hospital District

  • Critical Access Hospital
  • Ballinger, TX
  • NPI 1518082833
  NPD
• Ballinger Memorial Hospital District

  • Skilled Nursing Facility
  • San Angelo, TX
  • NPI 1710740386
  NPD
• Stonewall Memorial Hospital

  • Rural Health Clinic/Center
  • Jayton, TX
  • NPI 1679992911
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1720021942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768210617",
            "telephone_number": "325-365-5737",
            "fax_number": "325-365-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HUTCHINS AVE",
            "address_2": "SUITE C",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768214452",
            "telephone_number": "325-365-5737",
            "fax_number": "325-365-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB159266",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342315401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PROBST",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jimmie D. Lummus, DPM
• Dang Nguyen, PHARMD
• Norval D. Meredith
• Duke Obiagwu, PHARMD
• Raymond Perry Orr, OT
• Rhonda Nancarrow Pupella, LCSW
• Wendy Rackley, PHARM.D.
• Karen Rightmire, DO
• Stewart David Robbins, O.D.
• Philip Rolland, PHARM.D.

• Physician Assistant in Ballinger, TX
• Providers in Ballinger, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.