ANDREA M FOX PA-C
NPI 1407153588
Physician Assistant in Saint Paul, MN

Active since February 25, 2011PECOS Enrolled
100/100
CMS Quality Rating
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104(612) 618-1678(651) 326-9635 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Andrea M Fox Pa-c NPPES

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

ANDREA M FOX PA-C (NPI 1407153588) is an individual physician assistant in Saint Paul, Minnesota, licensed in Minnesota (11060) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407153588
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANDREA M FOXCredential: PA-C
Location Address1700 UNIVERSITY AVE WSaint Paul, MN 55104-3727
Mailing Address1700 University Ave WSaint Paul, MN 55104-3727 · (952) 924-8462 · Fax (651) 326-9635
Fax(651) 326-9635
Sole ProprietorNo
Enumeration DateFebruary 25, 2011
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1407153588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 11060
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 50-003241 (OH)
1700 UNIVERSITY AVE W, Saint Paul, MN 55104

Secondary Practice Locations 2

Location 12142 N Cove BlvdToledo, OH 43606-3895 · Phone (419) 291-5318 · Fax (419) 291-6430
Location 26401 France Ave SEdina, MN 55435-2104 · Phone (952) 924-8462 · Fax (952) 924-8358

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 (PECOS)

Andrea M Fox Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
292 services132 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
186 services147 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
137 services131 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

Other Providers at the Same Location NPPES 20

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

Interpreter
1700 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Nurse Practitioner (Gerontology)
1700 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Interpreter
1700 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Social Worker (Clinical)
1700 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Nurse Practitioner (Gerontology)
1700 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Dietitian, Registered
1700 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Internal Medicine
1700 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Interpreter
1700 UNIVERSITY AVE W
SAINT PAUL, MN 55104

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 Andrea Fox's NPI number?

The NPI number for Andrea Fox is 1407153588. It was assigned to this individual provider in the NPPES registry on February 25, 2011.

Where is Andrea Fox located?

Andrea Fox practices at 1700 University Ave W, Saint Paul, MN 55104. The listed phone number is (612) 618-1678.

What is Andrea Fox's specialty?

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

Is Andrea Fox enrolled in Medicare?

Yes. Andrea Fox is registered in the Medicare PECOS enrollment system.

What insurance does Andrea Fox accept?

Health plans from Medica and Sanford Health Plan list Andrea Fox 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.

When was this NPI record last updated?

The NPPES record for Andrea Fox was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.