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

Amy Kallio, PA

Individual provider Physician Assistant · NPI 1235225954

Amy Kallio, PA is a Physician Assistant in Prescott, Arizona. Qualified in 1984, 42 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and South Carolina.

Years since qualifying
42
Licensed in
AZ, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1050 Gail Gardner Way Ste 300
Prescott, AZ 86305-1640
Phone: (928) 717-5232
Fax: (928) 717-5238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1615 Sandifer Blvd, Seneca, SC 29678-0905 — (864) 920-7910

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6367 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 5951 (SC)

Record details

NPI number1235225954
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Yavapai Regional Medical Center Physician Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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