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

ANNABELLE WILCOX AMICK PA-C
NPI 1619639853
Physician Assistant in Salt Lake City, UT

Q: What is Annabelle Amick's NPI number?

The NPI number for Annabelle Amick is 1619639853. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Q: What is Annabelle Amick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Annabelle Amick was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 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 October 05, 2021PECOS EnrolledAccepts Medicare Assignment

73.56/100

CMS Quality Rating

295 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 587-7689 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 6, 2026, Mar 4, 2024, Jun 20, 2023 and 2 more (5 updates tracked since 2021).

On this page

About Annabelle Wilcox Amick Pa-c NPPES

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

ANNABELLE WILCOX AMICK PA-C (NPI 1619639853) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (13335479-1206) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619639853

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANNABELLE WILCOX AMICKCredential: PA-C

Location Address295 S CHIPETA WAYSalt Lake City, UT 84108-1287

Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180

Phone(801) 587-7689

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 5, 2021

Last NPPES UpdateJuly 6, 20265 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1619639853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in UT · 13335479-1206

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5530 (CT)

295 S CHIPETA WAY, Salt Lake City, UT 84108

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Secondary Practice Location 1

Location 181 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · Phone (801) 662-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Annabelle Wilcox Amick Pa-c 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 ID1456745546

PECOS Enrollment IDI20231024003295

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 84108 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.84

Promoting Interoperability

Improvement Activities

Cost

51.43

Other Providers at the Same Location NPPES 20

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

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