AMY GRACE BRANDEBURG
NPI 1760295075
Physician Assistant in Memphis, TN

Active since January 30, 2025PECOS EnrolledAccepts Medicare Assignment
6019 WALNUT GROVE RD, MEMPHIS, TN 38120(901) 226-5000 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Grace Brandeburg NPPES

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

AMY GRACE BRANDEBURG (NPI 1760295075) is an individual physician assistant in Memphis, Tennessee and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1760295075
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY GRACE BRANDEBURG
Location Address6019 WALNUT GROVE RDMemphis, TN 38120-2113
Mailing Address265 Brookview Centre Way Ste 400Knoxville, TN 37919-4052 · (800) 342-2898
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 29, 2025
NPI 1760295075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

6019 WALNUT GROVE RD, Memphis, TN 38120

Other Names 1

Former Name (1)Amy Grace Fister

Secondary Practice Locations 2

Location 15150 Airline RdArlington, TN 38002-8008 · Phone (901) 226-1850
Location 21500 W Poplar AveCollierville, TN 38017-0601 · Phone (901) 861-9000

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 Grace Brandeburg 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 ID6103317698
PECOS Enrollment IDI20251112003113
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 38120 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

Nurse Practitioner
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Nurse Anesthetist, Certified Registered
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Radiology (Diagnostic Radiology)
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Nurse Practitioner (Family)
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Physician Assistant
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Radiology (Diagnostic Radiology)
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Nurse Anesthetist, Certified Registered
6019 WALNUT GROVE RD
MEMPHIS, TN 38120
Nurse Anesthetist, Certified Registered
6019 WALNUT GROVE RD
MEMPHIS, TN 38120

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 Brandeburg's NPI number?

The NPI number for Amy Brandeburg is 1760295075. It was assigned to this individual provider in the NPPES registry on January 30, 2025. The provider is also known as Amy Grace Fister.

Where is Amy Brandeburg located?

Amy Brandeburg practices at 6019 Walnut Grove Rd, Memphis, TN 38120. The listed phone number is (901) 226-5000.

What is Amy Brandeburg's specialty?

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

Is Amy Brandeburg enrolled in Medicare?

Yes. Amy Brandeburg 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.

When was this NPI record last updated?

The NPPES record for Amy Brandeburg was last updated on January 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.