Amanda Colyer
NPI 1043553217ActiveIndividual· Physician Assistant· Farmington, NM
Physician Assistant with San Juan Regional Medical Center, Inc., practicing in Farmington, New Mexico. Enrolled in Medicare as practitioner - physician assistant. Lists San Juan Regional Medical Center Inc as a hospital affiliation.
Overview
| NPI | 1043553217 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 5, 2013 |
| Last updated in NPPES | Mar 18, 2025 |
| Certified by provider | Mar 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA2023-0287 | NM |
| Military Health Care Provider, Independent Duty Medical Technicians | 1710I1003X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NM) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- San Juan Regional Medical Center, Inc.Farmington, NM · 241 clinicians
Hospital affiliation
- San Juan Regional Medical Center IncFarmington, NM
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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