Individual provider Active NPI

Amber Dawn Purvine, PA-C

  • Physician Assistant
  • Edmond, OK
National Provider Identifier
1881765808
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1333 Issued in OK
Practice address
2556 Covell Village Dr
Edmond, OK 73003-9731
Phone
(405) 938-0700
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 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 1333 OK Primary

Addresses

Primary practice location

2556 Covell Village Dr
Edmond, OK 73003-9731

Mailing address

2556 Covell Village Dr
Edmond, OK 73003-9731
Phone (405) 938-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20090113000734 OK Practitioner - Physician Assistant 8123120516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hope Family Medicine PLLCGroup PAC ID 0244682169, 2 clinicians

Practice addresses (Care Compare)

2556 Covell Village Dr
Suite 120
Edmond, OK 73003-9732
Phone (405) 938-0700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1333OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Hospitalist Group Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Radiology Associates LLC Past Accepting new patients

Organizations & group practices 4

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1881765808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 COVELL VILLAGE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730039731",
            "telephone_number": "405-938-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 COVELL VILLAGE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730039731",
            "telephone_number": "405-938-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURVINE",
        "first_name": "AMBER",
        "middle_name": "DAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.