MRS. AMY SURFACE (PA-C) – Medical Physician Assistant, NPI 1255418810

MRS. AMY SURFACE (PA-C) is a healthcare provider. based in Vancouver, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10004375 (WA). The NPI Number for MRS. AMY SURFACE (PA-C) is 1255418810

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMY SURFACE (PA-C)
NPI
1255418810
Phone
(360) 256-5640
Address
200 NE MOTHER JOSEPH PL
Enumeration Date
1 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3605141734
Graduation Year
2002 (24 years ago)
PAC ID
5395735187
Group Practice PAC ID
9739092065
Professional Enrollment ID
I20040513001481
Address ID
WA986643200VA400XXPLXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for MRS. AMY SURFACE (PA-C)

  • Northeast Mother Joseph Place, Vancouver, Clark County, Washington, 98664, United States

    SUITE 400

    VANCOUVER, WA 986643299

    Phone: (360) 256-5640

    Fax: (360) 816-1514

    Mailing address matches the actual address.

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: 2004-05-13

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
I20040513001481IPhysician AssistantWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes258140$0
99213Established patient office or other outpatient visit, 20-29 minutes8869$0
99215Established patient office or other outpatient visit, 40-54 minutes2619$0
View full utilization report →

Insurance plans in this area (ZIP 98664)

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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: 9739092065View full group profile
NameSpecialtyState
P S Y C H I A T R YWA
Physician AssistantCA
Family PracticeWA
P A T H O L O G YMN
-WA
-WA
P S Y C H I A T R YWA
Physical Medicine And RehabilitationWA
-VA
Family PracticeWA

Reviews

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Frequently asked questions

What is the standard ID for MRS. AMY SURFACE (PA-C) in the U.S.?
In the U.S., MRS. AMY SURFACE (PA-C) is identified by NPI 1255418810.
Quick check: is MRS. AMY SURFACE (PA-C) active?
Public NPPES data shows MRS. AMY SURFACE (PA-C) with an active NPI status right now.
What does the directory say MRS. AMY SURFACE (PA-C) does?
Insurance directories may phrase it differently, but here MRS. AMY SURFACE (PA-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. AMY SURFACE (PA-C) tied to Vancouver, Washington?
If you are local to Vancouver, Washington, MRS. AMY SURFACE (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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