Skip to content

Amanda Beau Lucas, PA-C

NPI 1639389703ActiveIndividual· Physician Assistant· Columbia, MO

Physician Assistant (PA-C) in Columbia, Missouri, licensed in MO, with an NPI issued in May 2007. Enrolled in Medicare as practitioner - physician assistant.

Overview

NPI1639389703
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedMay 23, 2007
Last updated in NPPESMay 21, 2026
Certified by providerMay 21, 2026
ReactivatedSep 4, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X2025023979MO
Physical Therapy Assistant225200000X2006039114MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MO)

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysician Assistant

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Columbia

All 181 physician assistants in Columbia · All physician assistants in Missouri