NPIMap

Individual provider Active NPI

Amanda Lynn Adams, PA-C

  • Physician Assistant
  • Huron, SD
National Provider Identifier
1720327331
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1000 18TH St SW Ste 27
Huron, SD 57350-3488
Phone
(605) 554-1015
Fax
(605) 554-1016
NPI assigned
Feb 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1000 18TH St SW Ste 27
Huron, SD 57350-3488

Mailing address

1000 18TH St SW Ste 27
Huron, SD 57350-3488
Phone (605) 554-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130429000507 SD Practitioner - Physician Assistant 6507002052 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
Horizon Health Care Inc 55 clinicians

Practice addresses (Care Compare)

1000 18TH St SW
Suite 27
Huron, SD 57350-3488
Phone (605) 554-1015

602 1St St NE
Suite 1
Wessington Springs, SD 57382-2163
Phone (605) 539-1778

Hospital & facility affiliations

  • Huron Regional Medical Center Hospital, Huron, SD, CCN 431335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0857SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince Feb 25, 2013 Accepting new patients
Horizon Health Care Inc CurrentSince Feb 25, 2013 Accepting new patients
Horizon Health Care Inc PastSince Apr 17, 2022 Accepting new patients

Locations

1000 18th St SW
Ste 27
Huron, SD 57350
Phone (605) 554-1015

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1720327331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 18TH ST SW STE 27",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503488",
            "telephone_number": "605-554-1015",
            "fax_number": "605-554-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 18TH ST SW STE 27",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503488",
            "telephone_number": "605-554-1015",
            "fax_number": "605-554-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

Verify at the official NPI Registry.