AMY M FOLSOM PA
NPI 1053400457
Physician Assistant - Medical in Sikeston, MO

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
102 HOSPITALITY DR, SIKESTON, MO 63801(573) 471-0200(573) 471-7559 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2022, Nov 14, 2018 (2 updates tracked since 2018).

About Amy M Folsom Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY M FOLSOM PA (NPI 1053400457) is an individual medical provider in Sikeston, Missouri, licensed in Missouri (2000150362) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Missouri Delta Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1053400457
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMY M FOLSOMCredential: PA
Location Address102 HOSPITALITY DRSikeston, MO 63801-9382
Mailing Address102 Hospitality DrSikeston, MO 63801-9382 · (573) 471-0200 · Fax (573) 471-7559
Fax(573) 471-7559
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 7, 20222 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
NPI 1053400457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MO · 2000150362
102 HOSPITALITY DR, Sikeston, MO 63801

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amy M Folsom Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618942699
PECOS Enrollment IDI20050328000590
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260113
Location1008 North Main StSikeston, MO 63801 · Scott County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers22 claims39 services$6.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
102 HOSPITALITY DR
SIKESTON, MO 63801
Clinic/Center (Rural Health)
102 HOSPITALITY DR
SIKESTON, MO 63801
Pharmacy
102 HOSPITALITY DR, UNIT B
SIKESTON, MO 63801
Neuromusculoskeletal Medicine & OMM
102 HOSPITALITY DR
SIKESTON, MO 63801
Nurse Practitioner (Acute Care)
102 HOSPITALITY DR
SIKESTON, MO 63801
Family Medicine
102 HOSPITALITY DR
SIKESTON, MO 63801
Nurse Practitioner (Family)
102 HOSPITALITY DR
SIKESTON, MO 63801
Physician Assistant
102 HOSPITALITY DR
SIKESTON, MO 63801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Folsom's NPI number?

The NPI number for Amy Folsom is 1053400457. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Amy Folsom located?

Amy Folsom practices at 102 Hospitality Dr, Sikeston, MO 63801. The listed phone number is (573) 471-0200.

What is Amy Folsom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amy Folsom enrolled in Medicare?

Yes. Amy Folsom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amy Folsom accept?

Health plans from UnitedHealthcare list Amy Folsom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amy Folsom affiliated with any hospitals?

According to CMS data, Amy Folsom is affiliated with Missouri Delta Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Folsom was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.