NPIMap

Individual provider Active NPI

Amanda McMahon, MD

  • Family Medicine Physician
  • Ortonville, MN
National Provider Identifier
1346699741
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66094 Issued in MN
Practice address
450 Eastvold Ave
Ortonville, MN 56278-1133
Phone
(320) 839-6157
Fax
(320) 839-6159
NPI assigned
Jun 7, 2016
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 66094 MN Primary

Addresses

Primary practice location

450 Eastvold Ave
Ortonville, MN 56278-1133

Mailing address

450 Eastvold Ave
Ortonville, MN 56278-1133
Phone (320) 839-6157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191125000229 MN Practitioner - Family Practice 5799079463 Reassigns benefits to 2 organizations
I20191226001902 SD Practitioner - Family Practice 5799079463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortonville Area Health ServicesGroup PAC ID 2365448768, shared by 5 NPIs, 12 clinicians

Practice addresses (Care Compare)

1103 S 2ND St
Milbank, SD 57252-3304
Phone (605) 432-4556

450 Eastvold Ave
Ortonville, MN 56278-1252
Phone (320) 839-6157

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.21 of 100Reported as group
Quality
92.56
Promoting interoperability
100
Improvement activities
40
Cost
41.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
66094MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortonville Area Health Services Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Ortonville Area Health Services CurrentSince Jan 1, 2020 Accepting new patients
Ortonville Area Health Services Current Accepting new patients
Ortonville Area Health Services Past Accepting new patients

Locations

450 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-2502

1103 S 2nd St
Milbank, SD 57252
Phone (605) 423-4556

Organizations & group practices 4

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

Hospital & facility affiliations 7

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1346699741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 EASTVOLD AVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781133",
            "telephone_number": "320-839-6157",
            "fax_number": "320-839-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 EASTVOLD AVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781133",
            "telephone_number": "320-839-6157",
            "fax_number": "320-839-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "AMANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "66094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ortonville, MN

Sources for this page

Verify at the official NPI Registry.