Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Cogan, PA-C

Individual provider Physician Assistant · NPI 1083147102

Amy Cogan, PA-C is a Physician Assistant in Carmel, Indiana. Qualified in 2016, 10 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Illinois, Indiana and Ohio.

Years since qualifying
10
Licensed in
FL, IL, IN, OH
In the registry since
2017
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10590 N Meridian St Ste 105
Carmel, IN 46290-1028
Phone: (317) 583-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 12251 S 80th Ave Ste 1520, Palos Heights, IL 60463-1290 — (708) 923-4200
  • 3533 Southern Blvd Ste 5650, Kettering, OH 45429-1263 — (937) 294-3611

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085008955 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 50.005054RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence PA9117662 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 10004787A (IN)

Record details

NPI number1083147102
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2017
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address12251 S 80th Ave Ste 1520, Palos Heights, IL 60463-1290

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Carmel