MISS AMY SUPERNAW PA-C
NPI 1932573250
Physician Assistant in San Diego, CA

Active since November 24, 2015PECOS EnrolledAccepts Medicare Assignment
4575 COLLEGE AVE, SAN DIEGO, CA 92115(888) 743-7526 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Amy Supernaw Pa-c NPPES

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

MISS AMY SUPERNAW PA-C (NPI 1932573250) is an individual physician assistant in San Diego, California, licensed in California (53038) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1932573250
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS AMY SUPERNAWCredential: PA-C
Location Address4575 COLLEGE AVESan Diego, CA 92115-4011
Mailing Address1075 Camino Del Rio SSan Diego, CA 92108-3538
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 24, 2015
NPI 1932573250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 53038
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.

4575 COLLEGE AVE, San Diego, CA 92115

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

Miss Amy Supernaw 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 ID8123457405
PECOS Enrollment IDI20200408000516
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
128 services93 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services41 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92115 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 3

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

Clinic/Center (Community Health)
4575 COLLEGE AVE
SAN DIEGO, CA 92115
Nurse Practitioner (Family)
4575 COLLEGE AVE
SAN DIEGO, CA 92115
Physician Assistant
4575 COLLEGE AVE
SAN DIEGO, CA 92115

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 Supernaw's NPI number?

The NPI number for Amy Supernaw is 1932573250. It was assigned to this individual provider in the NPPES registry on November 24, 2015.

Where is Amy Supernaw located?

Amy Supernaw practices at 4575 College Ave, San Diego, CA 92115. The listed phone number is (888) 743-7526.

What is Amy Supernaw's specialty?

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

Is Amy Supernaw enrolled in Medicare?

Yes. Amy Supernaw 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 Supernaw was last updated on November 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.