AMY MARIE ANDERSON (PA-C) – Physician Assistant, NPI 1235653288

AMY MARIE ANDERSON (PA-C) is a healthcare provider. based in Beaverton, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 12437 (MN). The NPI Number for AMY MARIE ANDERSON (PA-C) is 1235653288

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
AMY MARIE ANDERSON (PA-C)
NPI
1235653288
Phone
(888) 227-3312
Address
14600 SW MURRAY SCHOLLS DR
Enumeration Date
1 August 2017
Last Update Date
2 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032639500
Graduation Year
2017 (9 years ago)
PAC ID
9537434220
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20210407001336
Address ID
OR970137829CA200XXWAYX500
Telehealth
Yes

Contacts

Secure Messaging
aanderson1635869@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for AMY MARIE ANDERSON (PA-C)

  • 14600 SW MURRAY SCHOLLS DR

    BEAVERTON, OR 970079712

    Phone: (888) 227-3312

    Type: Location

  • 113 WAITE AVENUE SOUTH #101

    CENTRACARE CLINIC CONVENIENCE CARE WAITE PARK

    WAITE PARK, MN 563871348

    Phone: (320) 656-7127

    Type: Mailing

  • 14600 SW Murray Scholls Dr

    Beaverton, OR 970079712

    Phone: (888) 227-3312

    Type: Location

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • 10670 NE CORNELL RD STE 201

    HILLSBORO, OR 971249221

    Phone: (503) 216-9300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-04-07

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
I20210407001336IPhysician AssistantORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7470$0
81003Automated urinalysis test1917$0
99214Established patient office or other outpatient visit, 30-39 minutes1715$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 97007)

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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: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

Does AMY MARIE ANDERSON (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMY MARIE ANDERSON (PA-C) uses 1235653288.
Is AMY MARIE ANDERSON (PA-C) still practicing?
AMY MARIE ANDERSON (PA-C) is currently listed as active in the public NPI registry.
What is AMY MARIE ANDERSON (PA-C)'s specialty?
The listing groups AMY MARIE ANDERSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is AMY MARIE ANDERSON (PA-C) based?
AMY MARIE ANDERSON (PA-C) is tied to Beaverton, Oregon in the data we show; additional addresses may exist on the full record.
Is the information about AMY MARIE ANDERSON (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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