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

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

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: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2026, Sep 3, 2026, Aug 18, 2026 and 4 more (7 updates tracked since 2025).

About Amy Mcdonald Np NPPES

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

AMY MCDONALD NP (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 and is a graduate of Other (2006).

NPPES Registry Identity

NPI1104715051
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY MCDONALDCredential: NP
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
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 2, 2025
Last NPPES UpdateSeptember 16, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 16, 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 WA · 70138750✔ Licensed in WY · 59518✔ Licensed in NH · 118623-23✔ Licensed in VT · 101.0139476✔ Licensed in ID · 7981214✔ Licensed in ND · 205438✔ Licensed in LA · 248227✔ Licensed in KY · 4059349✔ Licensed in NV · 901995✔ Licensed in TN · 42380✔ Licensed in MT · 290853✔ Licensed in AZ · 344561
9737 BLACK OAK RD STE E, Fraziers Bottom, WV 25082
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5193283125
PECOS Enrollment IDI20260819003284
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Curana Health Of Louisiana LLC
766 mi
Family Medicine
2900 WESTFORK DR, SUITE 401
Baton Rouge, LA 70827
  • Reassigned Medicare billing, Louisiana enrollment
  • 251 clinicians in this Medicare group
NPI 1538399704 (337) 991-9276
Ch Mssp Services La LLC
868 mi
Internal Medicine
100 KINGSTON RD
Sulphur, LA 70663
  • Reassigned Medicare billing, Louisiana enrollment
  • 174 clinicians in this Medicare group
NPI 1982285060 (337) 408-0797

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Amy Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Mcdonald reassigns Medicare benefits to 2 organizations: Curana Health Of Louisiana LLC (Baton Rouge, LA) and Ch Mssp Services La LLC (Sulphur, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amy Mcdonald was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 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.