Amanda Jean Shinpaugh, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA00710 Issued in OR

Practice address

4103 Mercantile Dr
Lake Oswego, OR 97035-2556

Phone

(503) 850-9940

Fax

(877) 533-6717

NPI assigned

Aug 11, 2005

Last updated

Jan 31, 2023By the provider in NPPES

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 names 1

• Amanda Jean Byrd Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Go to Ortho, LLCGroup PAC ID 9537575543, 8 clinicians

Summit Orthopaedics, LLPGroup PAC ID 4789725607, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Go to Ortho LLC

  dba The Injury Clinic

  • Orthopedic Physical Therapist
  • Lake Oswego, OR
  • NPI 1083206155
  Medicare reassignment Care Compare group
• Summit Orthopaedics, LLP

  • Orthopaedic Surgery Physician
  • Lake Oswego, OR
  • NPI 1427200021
  Medicare reassignment Care Compare group
• TS Billings, LLC

  • Trauma Surgery Physician
  • Portland, OR
  • NPI 1497776488
  Medicare reassignment

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1750383451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 SW FAIRVIEW BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212655",
            "telephone_number": "503-708-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 MERCANTILE DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352556",
            "telephone_number": "503-850-9940",
            "fax_number": "877-533-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINPAUGH",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA00710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BYRD",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melinda Anne Shearer, DPT
• Chera Sheets, RT
• Susan Shelbourne, LPC
• Susan Kay Shelton, PTA
• Brendon J Shibley
• Ren Shirai, DO
• Trent M Shoemaker, D.C.
• Shokunin Performance Rehab LLC
• Spencer Tucker Short
• Stephanie Shu

• Surgical Physician Assistant in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Surgical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.

Verify at the official NPI Registry.