MRS. ANDREA JO PITZL PA-C
NPI 1477824472
Physician Assistant - Surgical in St Anthony, MN

Active since January 23, 2012PECOS EnrolledAccepts Medicare Assignment
82.34/100
CMS Quality Rating
3208 36TH AVE NE, ST ANTHONY, MN 55418(612) 805-5015 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Andrea Jo Pitzl Pa-c NPPES

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

MRS. ANDREA JO PITZL PA-C (NPI 1477824472) is an individual surgical provider in St Anthony, Minnesota, licensed in Minnesota (11081) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Fairview Lakes Health Services, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1477824472
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. ANDREA JO PITZLCredential: PA-C
Location Address3208 36TH AVE NESt Anthony, MN 55418-1713
Mailing Address3208 36th Ave NeSt Anthony, MN 55418-1713 · (612) 805-5015
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 23, 2012
Last NPPES UpdateNovember 13, 2015
NPI 1477824472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in MN · 11081 Licensed in MN · 1668
3208 36TH AVE NE, St Anthony, MN 55418

Other Names 1

Former Name (1)Andrea Jo Shamp Pa-c

Other Identifiers 2

OtherP01138670MN · Railroad Medicare
Medicare PIN970005940MN

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

Mrs. Andrea Jo Pitzl 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 ID7911166905
PECOS Enrollment IDI20120312000136
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

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.

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.
46 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240050
Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

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.

82.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.54
Promoting Interoperability100
Improvement Activities40
Cost38.17

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 Pitzl's NPI number?

The NPI number for Andrea Pitzl is 1477824472. It was assigned to this individual provider in the NPPES registry on January 23, 2012. The provider is also known as Andrea Jo Shamp Pa-C.

Where is Andrea Pitzl located?

Andrea Pitzl practices at 3208 36th Ave NE, St Anthony, MN 55418. The listed phone number is (612) 805-5015.

What is Andrea Pitzl's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Andrea Pitzl enrolled in Medicare?

Yes. Andrea Pitzl 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 Andrea Pitzl accept?

Health plans from Medica and Sanford Health Plan list Andrea Pitzl 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 Andrea Pitzl affiliated with any hospitals?

According to CMS data, Andrea Pitzl is affiliated with Fairview Lakes Health Services and M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Andrea Pitzl was last updated on November 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.