NPIMap

Individual provider Active NPI

Amanda L Lewis, PA-C

  • Physician Assistant
  • Talent, OR
National Provider Identifier
1801997226
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4185 Issued in CO
Practice address
288 S Pacific Hwy
Talent, OR 97540-6649
Phone
(304) 520-6644
Fax
(541) 414-0415
NPI assigned
Sep 26, 2006
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA217673 OR
Physician Assistant 363A00000X 4185 CO Primary
Medical Physician Assistant 363AM0700X 2181 AZ

Addresses

Primary practice location

288 S Pacific Hwy
Talent, OR 97540-6649

Mailing address

288 S Pacific Hwy
Talent, OR 97540-6649
Phone (541) 500-4199

Other identifiers 1

IdentifierTypeStateIssuer
851148MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 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
I20150204000122 CO Practitioner - Physician Assistant 8426033796 Reassigns benefits to 2 organizations
I20240425003777 OR Practitioner - Physician Assistant 8426033796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Midwestern University College of Dental Medicine, Glendale, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

940 Royal Ave
Medford, OR 97504-6194

965 Ellendale Dr
Medford, OR 97504-8215
Phone (541) 732-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4185COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District CurrentSince Jul 1, 2022 Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Sep 1, 2016 Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Sep 1, 2016 Accepting new patients
Salida Hospital District CurrentSince Jul 1, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince May 1, 2025 Accepting new patients
Providence Health & Services - Oregon CurrentSince May 1, 2025 Accepting new patients
Dotare LLC Past Accepting new patients
Lutheran Hospital Association of the San Luis Valley Past Accepting new patients
Rogue Valley Surgery Center LLC PastSince Oct 30, 2022 Accepting new patients
Arthrocare Arthritis Care and Research, P.C. Past Accepting new patients
Lutheran Hospital Association of the San Luis Valley Past Accepting new patients
Desert Ridge Urgent Care Centers Past Accepting new patients

Locations

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

1033 2nd Ave
Monte Vista, CO 81144
Phone (719) 852-8827

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1801997226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 S PACIFIC HWY",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975406649",
            "telephone_number": "541-500-4199",
            "fax_number": "541-414-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S PACIFIC HWY",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975406649",
            "telephone_number": "304-520-6644",
            "fax_number": "541-414-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA217673",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "4185",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "851148",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Talent, OR

Sources for this page

Verify at the official NPI Registry.