Individual provider Active NPI

Amanda Joanne Schmidt, PA-C

  • Physician Assistant
  • Roseville, MN
National Provider Identifier
1033557491
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12251 Issued in MN
Practice address
1515 County Road B W
Roseville, MN 55113-6005
Phone
(866) 389-2727
NPI assigned
Jun 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12251 MN Primary

Addresses

Primary practice location

1515 County Road B W
Roseville, MN 55113-6005

Mailing address

1515 County Road B W
Roseville, MN 55113-6005
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161201000546 MN Practitioner - Physician Assistant 4880821933 Reassigns benefits to 2 organizations
I20251017003472 WI Practitioner - Physician Assistant 4880821933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Minnesota PAGroup PAC ID 7810289949, 83 clinicians
Ladd Memorial HospitalGroup PAC ID 9931092848, 69 clinicians

Practice addresses (Care Compare)

1040 Grand Ave
Saint Paul, MN 55105-3001
Phone (866) 389-2727

1500 109TH Ave NE
Blaine, MN 55449-4670
Phone (866) 389-2727

1515 County Rd B W
Roseville, MN 55113-6005
Phone (866) 389-2727

15800 87TH St NE
Otsego, MN 55330-6546
Phone (866) 389-2727

2600 65TH Ave
Osceola, WI 54020-4370
Phone (715) 294-2111

4140 County Rd 101
Plymouth, MN 55446-2308
Phone (866) 389-2727

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2582MNMDRegistered Dietitian
12251MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ladd Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Ladd Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Ladd Memorial Hospital Past Accepting new patients

Locations

21190 Ozark Ave N
Scandia, MN 55073
Phone (715) 294-2111

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1033557491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 COUNTY ROAD B W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136005",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 COUNTY ROAD B W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136005",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "AMANDA",
        "middle_name": "JOANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.