Individual provider Active NPI

Amy Marie Beicker, PA

  • Physician Assistant
  • Fredericksburg, TX
National Provider Identifier
1871732073
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06100 Issued in TX
Practice address
813 S Milam St
Fredericksburg, TX 78624-4789
Phone
(830) 997-4043
Fax
(833) 695-0415
NPI assigned
Feb 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 PA06100 TX Primary

Addresses

Primary practice location

813 S Milam St
Fredericksburg, TX 78624-4789

Mailing address

813 S Milam St
Fredericksburg, TX 78624-4789
Phone (830) 997-4043

Other identifiers 1

IdentifierTypeStateIssuer
8Y9510OtherTXBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090528000321 TX Practitioner - Physician Assistant 5294884904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

204 W Windcrest
Fredericksburg, TX 78624-4408

204 W Windcrest St
Fredericksburg, TX 78624-4408
Phone (830) 997-4043

Hospital & facility affiliations

  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

Merit-based Incentive Payment System (MIPS)

Final score
80.68 of 100Reported as group
Quality
84.05
Promoting interoperability
87
Improvement activities
40
Cost
62.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06100TXMDPhysician Assistant

Organizations & group practices 2

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 2

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": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1871732073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 S MILAM ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244789",
            "telephone_number": "830-997-4043",
            "fax_number": "833-695-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 S MILAM ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244789",
            "telephone_number": "830-997-4043",
            "fax_number": "833-695-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEICKER",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y9510",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.