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AMANDA PENICK PA-C
NPI 1891418448
Physician Assistant in Bloomington, MN

Active since September 20, 2022PECOS EnrolledAccepts Medicare Assignment
5320 HYLAND GREENS DR, BLOOMINGTON, MN 55437(952) 993-2400(952) 993-2522 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2023, Sep 20, 2022 (2 updates tracked since 2022).

About Amanda Penick Pa-c NPPES

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

AMANDA PENICK PA-C (NPI 1891418448) is an individual physician assistant in Bloomington, Minnesota, licensed in Minnesota (14233) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Otsego.

NPPES Registry Identity

NPI1891418448
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA PENICKCredential: PA-C
Location Address5320 HYLAND GREENS DRBloomington, MN 55437-3934
Mailing Address8265 Obrian Ave NeOtsego, MN 55330-7413
Phone(952) 993-2400
Fax(952) 993-2522
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 20, 2022
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1891418448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 14233
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.
5320 HYLAND GREENS DR, Bloomington, MN 55437
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Secondary Practice Location 1

Location 18265 OBrian Ave NEOtsego, MN 55330-7413 · Phone (763) 447-5968

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, 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 Penick 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 ID1850760901
PECOS Enrollment IDI20221212001517
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 8

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
43 services37 patients
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.
34 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55437 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.

SAVANNAH NELLES MD
Family Medicine
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2400
CHRISTINE ANN MORLEY MD
Family Medicine
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2400
MARY E HANSON PNP
Nurse Practitioner (Pediatrics)
5320 HYLAND GREENS DR
MINNEAPOLIS, MN 55437
Hennepin County (952) 993-2555
RACHAEL GARVELINK
Nurse Practitioner
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2400
YASMIN JEANNE KHAN MD
Pediatrics
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2400
KELSEY LYNN CULHANE CNP
Nurse Practitioner
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2400
KELLEE OTT
Obstetrics & Gynecology
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2460
ASHLEY GILLAND N.P.
Nurse Practitioner
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437
Hennepin County (952) 993-2400

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 Penick's NPI number?

The NPI number for Amanda Penick is 1891418448. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Amanda Penick located?

Amanda Penick practices at 5320 Hyland Greens Dr, Bloomington, MN 55437. The listed phone number is (952) 993-2400.

What is Amanda Penick's specialty?

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

Is Amanda Penick enrolled in Medicare?

Yes. Amanda Penick 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 Penick accept?

Health plans from HealthPartners and Medica list Amanda Penick 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 Penick affiliated with any hospitals?

According to CMS data, Amanda Penick is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Penick was last updated on January 10, 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.