MS. AMY GOULEY SNOW PA
NPI 1215912712
Physician Assistant - Medical in Bend, OR
NPI Status: Active since December 07, 2005
Contact Information
360 SW BOND ST STE 310
BEND, OR
ZIP 97702
Phone: (541) 727-3376
Fax: (800) 514-0191
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
About AMY SNOW
This page provides the complete NPI Profile along with additional information for Amy Snow, a primary care provider established in Bend, Oregon with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1215912712 assigned on December 2005. The practitioner's primary taxonomy code is 363AM0700X with license number PA179314 (OR). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1215912712
- Provider Name
- MS. AMY GOULEY SNOW PA
- Other Name
- MS. AMY GOULEY
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 360 SW BOND ST STE 310 BEND, OR 97702
- Location Phone
- (541) 727-3376
- Location Fax
- (800) 514-0191
- Mailing Address
- PO BOX 400 BEND, OR 97709
- Mailing Phone
- (541) 727-3376
- Mailing Fax
- (800) 514-0191
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-07-2005
- Last Update Date
- 11-18-2024
- Code Navigator
A primary care provider (PCP) like Amy Snow sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA179314
- License State
- OR
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 17111 (CA) |
| 2 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 60240552 (WA) |
Medicare Participation & PECOS Enrollment Status
Amy Snow is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Melanoma (skin cancer) excision
Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 9 | 1 | 2 | 7 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 18 | 1 | 4 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 8 + 1 + 4 + 7 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1215912712 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902635550 | A & M SNOW, INC. Organization | Dermatology | 360 SW BOND ST STE 310 BEND, OR 97702 (541) 727-3376 |
| 1326864059 | PROTEAN DERMATOLOGY CONSULTING, LLC Organization | Dermatology | 360 SW BOND ST STE 310 BEND, OR 97702 (855) 457-5593 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215912712, enumerated in the NPI registry as an "individual" on December 07, 2005
The provider is located at 360 Sw Bond St Ste 310 Bend, Or 97702 and the phone number is (541) 727-3376
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Melanoma (skin cancer) excision.
This NPI record was last updated on December 07, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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