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

Mrs. Amy Lynn Willingham, PA-C, MSPA

Individual provider Physician Assistant · NPI 1659649846

Mrs. Amy Lynn Willingham, PA-C, MSPA is a Physician Assistant in Cape Girardeau, Missouri. Qualified in 2011, 15 years ago. Practices with Advanced Dermatology of Southeast Missouri PC, a 9-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2011
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

1359 N Mount Auburn Rd
Cape Girardeau, MO 63701-1727
Phone: (573) 335-7546
Fax: (573) 335-7550
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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 2011032963 (MO)

Record details

NPI number1659649846
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MSPA
Sole proprietorNo
NPI enumeratedDecember 2, 2011
Last updated in NPPESDecember 2, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Advanced Dermatology Of Southeast Missouri Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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