MS. AMANDA ANN ROY (PA-C) – Physician Assistant, NPI 1669816898

MS. AMANDA ANN ROY (PA-C) is a healthcare provider. based in Fossil, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA161830 (OR). The NPI Number for MS. AMANDA ANN ROY (PA-C) is 1669816898

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMANDA ANN ROY (PA-C)
NPI
1669816898
Phone
(541) 763-2725
Address
PO BOX 307
Enumeration Date
18 April 2013
Last Update Date
18 April 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
2264670843
Group Practice PAC ID
2365359296
Professional Enrollment ID
I20130522000213
Address ID
OR978360000HEPOXXXBOXX203
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for MS. AMANDA ANN ROY (PA-C)

  • PO BOX 307

    712 JAY ST

    FOSSIL, OR 97830

    Phone: (541) 763-2725

    Fax: (541) 763-2850

    Type: Mailing

  • 712 JAY STREET

    FOSSIL, OR 97830

    Phone: (541) 763-2725

    Fax: (541) 763-2850

    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: 2013-05-22

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
I20130522000213IPhysician 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.

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

Insurance plans in this area (ZIP 97830)

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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: 2365359296View full group profile
NameSpecialtyState
Physician AssistantOR
-IL
Emergency Medicine, Family PracticeMO
Clinical Social WorkerOR
Clinical Social WorkerOR
Family PracticeOR
Physician AssistantOR
-OR
Nurse PractitionerOR
Emergency MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. AMANDA ANN ROY (PA-C)?
MS. AMANDA ANN ROY (PA-C) — NPI 1669816898 — is the standard way to identify this listing.
Is MS. AMANDA ANN ROY (PA-C) listed as active for patients and plans?
The listing shows MS. AMANDA ANN ROY (PA-C) as active in the NPI system.
What healthcare role does MS. AMANDA ANN ROY (PA-C) hold?
Scheduling teams often label MS. AMANDA ANN ROY (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MS. AMANDA ANN ROY (PA-C)?
MS. AMANDA ANN ROY (PA-C)'s geographic hint is Fossil, Oregon in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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