Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMY MCDONALD RN
NPI 1104715051
Nurse Practitioner - Family in Fraziers Bottom, WV

Q: What is Amy Mcdonald's NPI number?

The NPI number for Amy Mcdonald is 1104715051. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Q: What is Amy Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Mcdonald was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.

Active since July 02, 2025PECOS Enrolled

9737 BLACK OAK RD STE E, FRAZIERS BOTTOM, WV 25082(740) 208-0190 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 18, 2026, Aug 7, 2026, Jul 30, 2026 and 2 more (5 updates tracked since 2025).

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About Amy Mcdonald Rn NPPES

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

AMY MCDONALD RN (NPI 1104715051) is an individual family provider in Fraziers Bottom, West Virginia, licensed in Utah (142907337-4405) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104715051

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMY MCDONALDCredential: RN

Location Address9737 BLACK OAK RD STE EFraziers Bottom, WV 25082-8006

Mailing Address9737 Black Oak Rd Ste EFraziers Bottom, WV 25082-8006 · (740) 208-0190

Phone(740) 208-0190

Sole ProprietorYes

Enumeration DateJuly 2, 2025

Last NPPES UpdateAugust 18, 20265 updates tracked since enumeration

NPPES CertifiedAugust 18, 2026

✔ NPI 1104715051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in UT · 142907337-4405✔ Licensed in ID · 7981214✔ Licensed in ND · 205438✔ Licensed in LA · 248227✔ Licensed in WA · 70138750✔ Licensed in WY · 59518✔ Licensed in KY · 4059349✔ Licensed in NV · 901995✔ Licensed in NH · 118623-23✔ Licensed in VT · 101.0139476✔ Licensed in TN · 42380✔ Licensed in MT · 290853

9737 BLACK OAK RD STE E, Fraziers Bottom, WV 25082

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Mcdonald Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mcdonald's NPI number?

The NPI number for Amy Mcdonald is 1104715051. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Amy Mcdonald located?

Amy Mcdonald practices at 9737 Black Oak Rd Ste E, Fraziers Bottom, WV 25082. The listed phone number is (740) 208-0190.

What is Amy Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amy Mcdonald enrolled in Medicare?

Yes. Amy Mcdonald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Mcdonald was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.