Individual provider Active NPI

Amanda Bucher Kwan, PA-C

  • Surgical Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1992150817
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
8595 Picardy Ave Ste 235
Baton Rouge, LA 70809-0610
Phone
(225) 381-2615
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

8595 Picardy Ave Ste 235
Baton Rouge, LA 70809-0610

Mailing address

8595 Picardy Ave Ste 235
Baton Rouge, LA 70809-0610
Phone (225) 381-2615

Other identifiers 3

IdentifierTypeStateIssuer
009077500OtherLADRIVERS LICENSE NUMBER
2420739MedicaidLA
302198OtherLAPA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160614000235 LA Practitioner - Physician Assistant 9830480342 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woman'S Surgical Specialty GroupGroup PAC ID 9537346382, 13 clinicians

Practice addresses (Care Compare)

100 Womans Way
Baton Rouge, LA 70817-5100

500 Rue de la Vie St
Suite 402
Baton Rouge, LA 70817-5129
Phone (225) 215-7588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.3 of 100Reported as group
Quality
57.21
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Medical Center CurrentSince Jun 1, 2020 Accepting new patients

Locations

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

8595 Picardy Ave
Ste 235
Baton Rouge, LA 70809
Phone (225) 763-4629

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

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.

Hospital & facility affiliations 1

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1992150817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 PICARDY AVE STE 235",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708090610",
            "telephone_number": "225-381-2615",
            "fax_number": "225-381-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 PICARDY AVE STE 235",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708090610",
            "telephone_number": "225-381-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "AMANDA",
        "middle_name": "BUCHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE NUMBER",
            "identifier": "009077500",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2420739",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "302198",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.