NPIMap

Individual provider Active NPI

Amy C Huber, PA

  • Medical Physician Assistant
  • Bradenton, FL
National Provider Identifier
1922037571
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103707 Issued in FL
Practice address
11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone
(941) 907-6016
Fax
(941) 907-0199
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103707 FL Primary

Addresses

Primary practice location

11505 Rangeland Pkwy
Bradenton, FL 34211-4041

Mailing address

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016

Other names 1

  • Amy C Piscitelli Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Amy.Huber@img.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060808000482 FL Practitioner - Physician Assistant 6204839418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016

921 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 365-7390

965 S Beneva Rd
Sarasota, FL 34232-2401
Phone (941) 366-1888

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145
  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9103707FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Emergency Physicians PA Past Accepting new patients
Pride Emergency Physicians LLC Past Accepting new patients
Braden ER SVCS Partnership LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amy.huber@img.directbygreenway.com

Organizations & group practices 5

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 3

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1922037571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11505 RANGELAND PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114041",
            "telephone_number": "941-907-6016",
            "fax_number": "941-907-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 RANGELAND PKWY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342114041",
            "telephone_number": "941-907-6016",
            "fax_number": "941-907-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "AMY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amy.Huber@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11505 Rangeland Pkwy",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342114041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PISCITELLI",
            "middle_name": "C",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.