AMANDA MICHELLE PETERSON PA-C
NPI 1457805020
Physician Assistant in Shakopee, MN

Q: What is Amanda Peterson's NPI number?

The NPI number for Amanda Peterson is 1457805020. It was assigned to this individual provider in the NPPES registry on August 11, 2016. The provider is also known as Amanda Michelle Stutsman.

Q: What is Amanda Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Peterson was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 11, 2016PECOS EnrolledAccepts Medicare Assignment

83.53/100

CMS Quality Rating

1601 SAINT FRANCIS AVE STE 100, SHAKOPEE, MN 55379(952) 428-3535(952) 428-3599 Get Directions Write a Review

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

Record update history: Jan 16, 2023, Aug 11, 2016 (2 updates tracked since 2016).

On this page

About Amanda Michelle Peterson Pa-c NPPES

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

AMANDA MICHELLE PETERSON PA-C (NPI 1457805020) is an individual physician assistant in Shakopee, Minnesota, licensed in Minnesota (12245) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with St Francis Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457805020

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMANDA MICHELLE PETERSONCredential: PA-C

Location Address1601 SAINT FRANCIS AVE STE 100Shakopee, MN 55379-3384

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000

Phone(952) 428-3535

Fax(952) 428-3599

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 11, 2016

Last NPPES UpdateJanuary 16, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2023

✔ NPI 1457805020 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 · 12245

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

1601 SAINT FRANCIS AVE STE 100, Shakopee, MN 55379

Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Michelle Stutsman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Michelle Peterson 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 ID8729367263

PECOS Enrollment IDI20161128000915

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.

Hospital Affiliations CMS Care Compare

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

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240104

Location1455 St Francis AvenueShakopee, MN 55379 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55379 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.

83.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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.

DR. NEEL SHAILENDRA JOSHI M.D.

Surgery