AMANDA VANCENE PETERSON AGACNP
NPI 1255077202
Nurse Practitioner - Acute Care in Saint Paul, MN

Active since May 11, 2022PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
225 SMITH AVE N STE 501, SAINT PAUL, MN 55102(651) 726-6200 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 16, 2023, Aug 3, 2022, Jul 10, 2022 and 1 more (4 updates tracked since 2022).

About Amanda Vancene Peterson Agacnp NPPES

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

AMANDA VANCENE PETERSON AGACNP (NPI 1255077202) is an individual acute care provider in Saint Paul, Minnesota, licensed in Minnesota (9286) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255077202
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAMANDA VANCENE PETERSONCredential: AGACNP
Location Address225 SMITH AVE N STE 501Saint Paul, MN 55102-2545
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-4400
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 11, 2022
Last NPPES UpdateJanuary 16, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
NPI 1255077202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in MN · 9286 Licensed in MN · 00000
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 1750728 (MN)
225 SMITH AVE N STE 501, Saint Paul, MN 55102

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 Vancene Peterson Agacnp 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 ID4183005085
PECOS Enrollment IDI20220725001347
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services26 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services14 patients

Hospital Affiliations CMS Care Compare

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
225 SMITH AVE N STE 501
SAINT PAUL, MN 55102
Internal Medicine (Critical Care Medicine)
225 SMITH AVE N STE 501
SAINT PAUL, MN 55102
Nurse Practitioner (Family)
225 SMITH AVE N STE 501
SAINT PAUL, MN 55102
Internal Medicine (Pulmonary Disease)
225 SMITH AVE N STE 501
SAINT PAUL, MN 55102
Internal Medicine (Critical Care Medicine)
225 SMITH AVE N STE 501
SAINT PAUL, MN 55102
Internal Medicine (Pulmonary Disease)
225 SMITH AVE N STE 501
SAINT PAUL, MN 55102
Internal Medicine (Pulmonary Disease)
225 SMITH AVE N STE 501
SAINT PAUL, MN 55102
Internal Medicine (Pulmonary Disease)
225 SMITH AVE N STE 501
SAINT PAUL, MN 55102

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 Peterson's NPI number?

The NPI number for Amanda Peterson is 1255077202. It was assigned to this individual provider in the NPPES registry on May 11, 2022.

Where is Amanda Peterson located?

Amanda Peterson practices at 225 Smith Ave N Ste 501, Saint Paul, MN 55102. The listed phone number is (651) 726-6200.

What is Amanda Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Amanda Peterson enrolled in Medicare?

Yes. Amanda Peterson 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 Peterson accept?

Health plans from Medica list Amanda Peterson 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 Peterson affiliated with any hospitals?

According to CMS data, Amanda Peterson is affiliated with Allina United Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Peterson was last updated on January 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.