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

Individual provider Specialist · NPI 1528035060

Amy List, PA is a Physician Assistant in Jackson, Michigan. Qualified in 1993, 33 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
33
Licensed in
MI
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

309 Page Ave
Jackson, MI 49201-2419
Phone: (517) 787-1234
Fax: (517) 787-9140
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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 5601002245 (MI)
Specialist Taxonomy 174400000X · Licence 5601002245 (MI)

Record details

NPI number1528035060
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 3, 2006
Last updated in NPPESJuly 12, 2018
Mailing address24 Frank Lloyd Wright Dr Lbby J2000, Ann Arbor, MI 48105-9484

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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