Active NPI
Amanda Joanne Schmidt, PA-C
- Physician Assistant
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12251
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2582 | MN | MD | Registered Dietitian |
| 12251 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | 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.
-
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
-
- Family Nurse Practitioner
- Eagan, MN
- NPI 1407227945
-
- Family Nurse Practitioner
- Eagan, MN
- NPI 1104632801
-
- Rural Health Clinic/Center
- Osceola, WI
- NPI 1801394549
-
- Clinic/Center
- Scandia, MN
- NPI 1700195542
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.