NPIMap

Individual provider Active NPI

Amber Farance, PA-C

  • Physician Assistant
  • Lewiston, ID
National Provider Identifier
1760031728
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61117581 Issued in WA
Practice address
428 6TH Ave
Lewiston, ID 83501-2355
Phone
(208) 263-9757
Fax
(208) 965-8128
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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 PA61117581 WA Primary

Addresses

Primary practice location

428 6TH Ave
Lewiston, ID 83501-2355

Mailing address

1327 W Superior St Ste 101
Sandpoint, ID 83864-2742
Phone (509) 254-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210329001927 WA Practitioner - Physician Assistant 2466869912 Reassigns benefits to 1 organization
I20221213001233 ID Practitioner - Physician Assistant 2466869912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Idaho Pain Clinic PLLCGroup PAC ID 3274712609, 9 clinicians

Practice addresses (Care Compare)

1110 E Polston Ave
Suite 3
Post Falls, ID 83854-6139
Phone (208) 263-9757

1113 E Westview CT
Spokane, WA 99218-1319
Phone (208) 263-9757

1327 W Superior St
Suite 101
Sandpoint, ID 83864-2742
Phone (208) 263-9757

Hospital & facility affiliations

  • Tri-State Memorial Hospital Hospital, Clarkston, WA, CCN 501332
  • St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003
  • Clearwater Valley Hospital & Clinics Hospital, Orofino, ID, CCN 131320
  • Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331

Merit-based Incentive Payment System (MIPS)

Final score
77.58 of 100Reported as group
Quality
54.82
Improvement activities
40
Cost
73.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61117581WAMDPhysician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1760031728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 W SUPERIOR ST STE 101",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642742",
            "telephone_number": "509-254-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 6TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012355",
            "telephone_number": "208-263-9757",
            "fax_number": "208-965-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARANCE",
        "first_name": "AMBER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2023-02-13",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61117581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.