AMY CHAN (PA-C) – Physician Assistant, NPI 1235640525

AMY CHAN (PA-C) is a healthcare provider. based in Nyssa, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for AMY CHAN (PA-C) is 1235640525

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
AMY CHAN (PA-C)
NPI
1235640525
Phone
(541) 372-2211
Address
PO BOX 1726
Enumeration Date
13 October 2017
Last Update Date
15 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083214790
Graduation Year
2017 (9 years ago)
PAC ID
5991068801
Group Practice PAC ID
9133178767
Professional Enrollment ID
I20210727002447
Address ID
ID837044845BO8854XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for AMY CHAN (PA-C)

  • PO BOX 1726

    NYSSA, OR 979130226

    Phone: (541) 372-2211

    Type: Mailing

  • 410, Main Street, Nyssa, Malheur County, Oregon, 97913, United States

    NYSSA, OR 979133973

    Phone: (541) 372-2211

    Fax: (541) 372-2583

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $542.

Total Amount is formed as General ($542) + Research ($0) + Ownership ($0) = $542.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Stryker Corporation ($448).

Total Amount

$542

General + Research + Ownership

Payments

19

Total payment records

General Amount

$542

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210727002447IPhysician AssistantIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97913)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133178767View full group profile

Reviews

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Frequently asked questions

Does AMY CHAN (PA-C) have a public NPI I can cite?
Public records show AMY CHAN (PA-C) under NPI 1235640525.
Quick check: is AMY CHAN (PA-C) active?
Public NPPES data shows AMY CHAN (PA-C) with an active NPI status right now.
How should patients interpret AMY CHAN (PA-C)'s specialty?
The extract shows Physician Assistant for AMY CHAN (PA-C). Clinical services aligned with this taxonomy classification.
Which community is linked to AMY CHAN (PA-C)?
AMY CHAN (PA-C) shows a connection to Nyssa, Oregon in registry-derived data.
Can I export AMY CHAN (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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