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

Mrs. Amy Maxson, PAC

Individual provider Physician Assistant · NPI 1245332337

Mrs. Amy Maxson, PAC is a Physician Assistant in Lander, Wyoming. Graduated from University of North Dakota School of Medicine in 2004, 22 years ago. Practices with Summit Memorial Medical Group LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Arizona and Wyoming.

Years since qualifying
22
Trained at
University of North Dakota School of Medicine
Licensed in
AZ, WY
In the registry since
2006
Specialties on file
3
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

535 E Main St Ste A
Lander, WY 82520-3424
Phone: (307) 233-0553
Fax: (307) 337-9029
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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 321 (WY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 8722 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MD1123075 (WY)

Record details

NPI number1245332337
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025
Mailing address535 E Main St Ste A, Lander, WY 82520-3424

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Summit Memorial Medical Group Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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