MS. AMY M GOETZ PA-C NPI 1962598367

NPI Information

  • NPI: 1962598367
  • Provider Name: MS. AMY M GOETZ, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8550 NE 138TH LN STE 102
    LADY LAKE, FL
    ZIP 32159
  • Phone: (352) 325-5555

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NPI Details

MS. Amy M Goetz, PA-C is a surgical physician assistant in Lady Lake, FL. MS. Amy M Goetz, PA-C NPI is 1962598367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8550 NE 138TH LN STE 102
LADY LAKE, FL
ZIP 32159-816
Phone: (352) 325-5555
Fax: (346) 202-0106

The NPI 1962598367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Biopsy of ear (HCPCS:69100)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)

The enumeration date for this NPI number is 10/4/2006 and was last updated on 12/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical085002812ILLINOISNo
2363AS0400XPhysician AssistantSurgicalPA9108881FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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