Amanda Matje Pa-C PLLC
NPI 1962148791ActiveOrganization· Physician Assistant· Phoenix, AZ
Physician Assistant in Phoenix, Arizona, registered in NPPES in May 2022. The authorized official on file is Vanessa Koziol, Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962148791 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 5, 2022 |
| Last updated in NPPES | May 5, 2022 |
| Certified by provider | May 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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