AMANDA LYNN FORTIER PA-C
NPI 1053193557
Physician Assistant in Coon Rapids, MN

Active since October 18, 2023PECOS EnrolledAccepts Medicare Assignment
11850 BLACKFOOT ST NW STE 470, COON RAPIDS, MN 55433(651) 999-6800(833) 905-2114 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Lynn Fortier Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA LYNN FORTIER PA-C (NPI 1053193557) is an individual physician assistant in Coon Rapids, Minnesota, licensed in Minnesota (14693) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053193557
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA LYNN FORTIERCredential: PA-C
Location Address11850 BLACKFOOT ST NW STE 470Coon Rapids, MN 55433-2773
Mailing Address3001 Metro Dr Ste 460Bloomington, MN 55425-1548 · (651) 999-7022 · Fax (651) 999-6970
Fax(833) 905-2114
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
NPI 1053193557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 14693
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11850 BLACKFOOT ST NW STE 470, Coon Rapids, MN 55433

Other Names 1

Former Name (1)Amanda Lynn Kaukola

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Lynn Fortier Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416304837
PECOS Enrollment IDI20231107002062
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
133 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
130 services114 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
110 services97 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
63 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services50 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
44 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Fortier's NPI number?

The NPI number for Amanda Fortier is 1053193557. It was assigned to this individual provider in the NPPES registry on October 18, 2023. The provider is also known as Amanda Lynn Kaukola.

Where is Amanda Fortier located?

Amanda Fortier practices at 11850 Blackfoot St NW Ste 470, Coon Rapids, MN 55433. The listed phone number is (651) 999-6800.

What is Amanda Fortier's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Fortier enrolled in Medicare?

Yes. Amanda Fortier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Fortier accept?

Health plans from HealthPartners and Medica list Amanda Fortier as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amanda Fortier affiliated with any hospitals?

According to CMS data, Amanda Fortier is affiliated with Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Fortier was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.