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Amy Elizabeth Vagedes

Pediatrics β€’ Eielson Afb, AK

Active NPI 1699193318 Individual Practitioner Female Practitioner
Practice location in NPPES

2630 Central Ave
Eielson Afb, AK 997022301

Call 9073776455 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2630 Central Ave

Eielson Afb, AK 997022301

Telephone 9073776455
Organization at the Same NPPES Address or Phone
354th Medgrp-Eielson Facility NPI 1902867229

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in North Pole, AK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Amy Vagedes has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Amy Vagedes as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Eielson Afb and Alaska

3 active clinicians are listed under Pediatrics with a practice address in Eielson Afb, AK (168 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 34.012353

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20201016000888

Enrollment State Jurisdiction

AK

PECOS Control ID

3476855982

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

3415 Laurance Rd Unit A

North Pole, AK 997056716

Phone: 3305757110

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Gretchen Casci , APRN, FNP-C

Nurse Practitioner - Family

NPI 1407324999

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1154703155

Doctor of Dental Surgery

Dr. Ashley Franz , MD

Preventive Medicine - Aerospace Medicine

NPI 1902192743

Doctor of Medicine (M.D.)

Dr. Taylor Liles , PT, DPT

Physical Therapist

NPI 1699364877

Physical Therapist, Doctor of Physical Therapy

NPI 1578545109

Doctor of Medicine (M.D.)

Katherine Willett , PA-C

Physician Assistant

NPI 1700320553

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 18, 2019

Registered at 2630 CENTRAL AVE, EIELSON AFB, AK 997022301 (Tel: 9073776455)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2019

Pediatrics (license number reported to NPPES: OH 34.012353)

βœ…
NPI Profile Active April 10, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 10, 2014

Registered at 1195 HASELTON RD, CLEVELAND, OH 441211539 (Tel: 3305757110)

πŸ“
Business Mailing Address (Initial Record) April 10, 2014

Registered at 1195 HASELTON RD., CLEVELAND, OH 44121 (Tel: 3305757110)

πŸ‘€
Provider Name / Credentials (Initial Record) April 10, 2014

Recorded as AMY VAGEDES

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2014

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 31, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699193318
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2014
Last Update: April 18, 2019
Sole Proprietor: No

Mailing Address

1195 Haselton Rd.

Cleveland, OH 44121

Phone: 3305757110

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.