AMANDA BOETTGER PA-C
NPI 1548778665
Physician Assistant in Maplewood, MN

Active since January 11, 2018PECOS EnrolledAccepts Medicare Assignment
1575 BEAM AVE, MAPLEWOOD, MN 55109(651) 232-7348 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 2, 2023, Oct 25, 2023, Mar 6, 2018 and 1 more (4 updates tracked since 2018).

About Amanda Boettger Pa-c NPPES

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

AMANDA BOETTGER PA-C (NPI 1548778665) is an individual physician assistant in Maplewood, Minnesota, licensed in Minnesota (12596) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and maintains a secondary practice location in Woodbury.

NPPES Registry Identity

NPI1548778665
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA BOETTGERCredential: PA-C
Location Address1575 BEAM AVEMaplewood, MN 55109-1169
Mailing Address2829 University Ave Se Ste 730Minneapolis, MN 55414-3279
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 11, 2018
Last NPPES UpdateJune 15, 20264 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
NPI 1548778665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MN · 12596 Licensed in WI · 8981-23
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.
1575 BEAM AVE, Maplewood, MN 55109

Secondary Practice Location 1

Location 11925 Woodwinds DrWoodbury, MN 55125-4445 · Phone (651) 232-0348

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 Boettger 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 ID6002175866
PECOS Enrollment IDI20180124001437
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
49 services49 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
34 services34 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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.

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.

Anesthesiology
1575 BEAM AVE
MAPLEWOOD, MN 55109
Interpreter
1575 BEAM AVE
MAPLEWOOD, MN 55109
Nurse Practitioner (Neonatal)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Radiology (Radiation Oncology)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Interpreter
1575 BEAM AVE
SAINT PAUL, MN 55109
Pharmacy (Institutional Pharmacy)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Hospitalist
1575 BEAM AVE
MAPLEWOOD, MN 55109

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 Boettger's NPI number?

The NPI number for Amanda Boettger is 1548778665. It was assigned to this individual provider in the NPPES registry on January 11, 2018.

Where is Amanda Boettger located?

Amanda Boettger practices at 1575 Beam Ave, Maplewood, MN 55109. The listed phone number is (651) 232-7348.

What is Amanda Boettger's specialty?

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

Is Amanda Boettger enrolled in Medicare?

Yes. Amanda Boettger 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 Boettger accept?

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

According to CMS data, Amanda Boettger is affiliated with M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Boettger was last updated on June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.