Individual provider Active NPI

Amber Nicole Mayfield

  • Speech-Language Pathologist
  • Perryville, MO
National Provider Identifier
1831747674
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2019032527 Issued in MO
Practice address
2979 PCR 501
Perryville, MO 63775-3246
Phone
(573) 535-4791
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2019032527 MO Primary

Addresses

Primary practice location

2979 PCR 501
Perryville, MO 63775-3246

Mailing address

2979 PCR 501
Perryville, MO 63775-3246
Phone (573) 535-4791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210129001087 MO Practitioner - Qualified Speech Language Pathologist 7416361605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid America Rehab, P.C.Group PAC ID 9830236769, 14 clinicians

Practice addresses (Care Compare)

376 Maple St
Altenburg, MO 63732-6208
Phone (573) 824-5800

Merit-based Incentive Payment System (MIPS)

Final score
84.55 of 100Reported as group
Quality
80
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid America Rehab, P.C. Speech-Language Pathologist CurrentSince Feb 1, 2023 Accepting new patients

Locations

376 Maple St
Altenburg, MO 63732
Phone (573) 824-5800

3047 William St
Ste 100
Cpe Girardeau, MO 63703
Phone (573) 339-5989

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.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1831747674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 PCR 501",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637753246",
            "telephone_number": "573-535-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 PCR 501",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637753246",
            "telephone_number": "573-535-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2019032527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.