Amy Jene Barber, PA-C
Individual provider Active NPI Physician Assistant · Grass Valley, CA
NPI 1780606830 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1780606830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA17613 (CA)
- Practice address
- 101 Margaret LN
Suite B
Grass Valley, CA 95945-4207 - Phone
- (530) 273-2221
- Fax
- (530) 273-3550
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
-
Michael D Andya, M.D.
-
Robert N Lowe, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041116000514 | CA | Practitioner - Physician Assistant | 8426012832 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17613 | CA | MD | General Practice Dentistry |
| PA17613 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17613 | CA | Yes |
Addresses
Primary practice location
101 Margaret LN
Suite B
Grass Valley, CA 95945-4207
Mailing address
101 Margaret LN
Suite a&B
Grass Valley, CA 95945-4207
Phone (530) 273-2221
Other providers in Grass Valley, CA
- Noelle Balestrieri
- Shera Banbury
- Cynthia E Bancroft
- Stephen Banister
- Harris F Barakzoy
- Gabriel Barber
- Bardison Enterprises, Inc.
- Mary Ann Guillermo Barker
- Dean Barrett
- Jennifer Barrios
All providers in Grass Valley, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.