1. Home
  2. Directory
  3. Minnesota
  4. Saint Paul
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

AMANDA PETERSEN-HAYES
NPI 1891549648
Student in an Organized Health Care Education/Training Program in Saint Paul, MN

Active since April 16, 2024PECOS Enrolled
1414 MARYLAND AVE E, SAINT PAUL, MN 55106(651) 772-3461 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Apr 16, 2024 (2 updates tracked since 2024).

About Amanda Petersen-hayes NPPES

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

AMANDA PETERSEN-HAYES (NPI 1891549648) is an individual student in an organized health care education/training program in Saint Paul, Minnesota and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891549648
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA PETERSEN-HAYES
Location Address1414 MARYLAND AVE ESaint Paul, MN 55106-2824
Mailing Address1414 Maryland Ave ESaint Paul, MN 55106-2824 · (651) 772-3461
Phone(651) 772-3461
Sole ProprietorNo
Enumeration DateApril 16, 2024
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1891549648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Petersen-hayes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ASILA AHMED OSMAN MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
CAITLYN BANGERT MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
ABIGAIL ANN PSYCK MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
DR. BROOKE ALEXANDRA KUTZ MD
General Practice
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
LINDA MOUA MD
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
DR. SAMUEL OLSON MD
Family Medicine
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
KRISTOFER SETTERSTROM
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Ramsey County (651) 772-3461
ANGELA JW SMITHSON MD
Family Medicine
1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC
ST. PAUL, MN 55106
Ramsey County (651) 772-3461

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 Petersen-hayes's NPI number?

The NPI number for Amanda Petersen-hayes is 1891549648. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Amanda Petersen-hayes located?

Amanda Petersen-hayes practices at 1414 Maryland Ave E, Saint Paul, MN 55106. The listed phone number is (651) 772-3461.

What is Amanda Petersen-hayes's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanda Petersen-hayes enrolled in Medicare?

Yes. Amanda Petersen-hayes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Petersen-hayes was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.