Amanda Wilder Lark, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03432 Issued in TX

Practice address

4471 Long Prairie Rd # 100
Flower Mound, TX 75028

Phone

(972) 362-0956

NPI assigned

Feb 7, 2008

Last updated

Oct 3, 2018By 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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Michael McGuiness PAGroup PAC ID 5698801702, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alark@mcguiness.emadirect.md

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.

• Dr Michael McGuiness, PA

  dba McGuiness Dermatology

  • Dermatology Physician
  • Prosper, TX
  • NPI 1396920823
  Medicare reassignment Care Compare group
• Oliver Street 5.01(a) Inc.

  dba U.S. Dermatology Partners

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413
  Medicare reassignment
• Questcare Medical Services, PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1912059247
  Medicare reassignment
• Questcare Medical Services, PLLC

  • Nurse Practitioner
  • Arlington, TX
  • NPI 1497807713

  Physician Assistant

  NPD
• Grace Elizabeth Brown, MD PA

  • Specialist
  • Flower Mound, TX
  • NPI 1922448489
  NPD (past)
• Premier Provider Health PA

  dba Han Pham Hulen, MD PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1700032745
  NPD (past)
• S Robert Harla DO PA

  dba S Robert Harla DO

  • Dermatology Physician
  • Grapevine, TX
  • NPI 1902024060
  NPD (past)

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1841478302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 LONG PRAIRIE RD # 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281795",
            "telephone_number": "972-362-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4471 LONG PRAIRIE RD # 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-362-0956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Buttonwood Dr",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "75019",
            "country_code": "US",
            "telephone_number": "972-971-2424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 Buttonwood Dr",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "75019",
            "country_code": "US",
            "telephone_number": "972-971-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARK",
        "first_name": "AMANDA",
        "middle_name": "WILDER",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285113101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285113102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Chandi Lane, FNP
• Nancy Elizabeth Lane, NNP
• Lisa Honea Lang, PH.D.
• Rebecca Dyann Lange, MPT
• Jamie A Langston, AGNP-C
• David T Larsen, MD
• Kelly Larson, LMFT-ASSOCIATE
• Las Colinas Orthopedic Surgery and Sports Medicine P.a. (All Star Orthopaedics & Sports Medicine)
• Alan K. Laufman, M.D.
• Christina Lawless

• Physician Assistant in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.