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

Amy Ibach, PAC

Individual provider Physician Assistant · NPI 1609888478

Amy Ibach, PAC is a Physician Assistant in Raleigh, North Carolina. Qualified in 1999, 27 years ago. Practices with Fastmed PC, a 176-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1311 E Millbrook Rd
Raleigh, NC 27609-5473
Phone: (919) 719-0119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15211 (CA)

Record details

NPI number1609888478
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESMarch 7, 2023
Certification dateFebruary 10, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Fastmed Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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