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

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: July 19, 2026.

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

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
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

Other Names 1

Former Name (1)Amanda Michelle Stutsman

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 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
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Internal Medicine (Nephrology)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Physician Assistant
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Psychologist (Clinical)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Nurse Practitioner (Psychiatric/Mental Health)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Psychiatry & Neurology (Psychiatry)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Dietitian, Registered
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Internal Medicine
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Chiropractor
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457805020, enumerated as an "individual" on August 11, 2016.

The provider is located at 1601 SAINT FRANCIS AVE STE 100 SHAKOPEE, MN 55379 and the phone number is (952) 428-3535.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.

Amanda Peterson is affiliated with: ST FRANCIS REGIONAL MEDICAL CENTER.