Amanda Vancene Peterson, AGACNP in Saint Paul, MN

Amanda Vancene Peterson, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Saint Paul, Minnesota. Her current practice location is 225 Smith Ave N Ste 501, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 726-6200.

Amanda Vancene Peterson is licensed to practice in Minnesota (license number 9286) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255077202.

Contact Information

	Amanda Vancene Peterson, AGACNP
	225 Smith Ave N Ste 501, Saint Paul, MN 55102-2545
	(651) 726-6200
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Vancene Peterson
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	225 Smith Ave N Ste 501, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255077202
Provider Enumeration Date: 05/11/2022
Last Update Date: 01/16/2023

Medicare PECOS Information:

PECOS PAC ID: 4183005085
Enrollment ID: I20220725001347

Medical Identifiers

Medical identifiers for Amanda Vancene Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255077202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	1750728 (Minnesota)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	00000 (Minnesota)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	9286 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Vancene Peterson allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Vancene Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amanda Vancene Peterson, AGACNP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-4400	Amanda Vancene Peterson, AGACNP 225 Smith Ave N Ste 501, Saint Paul, MN 55102-2545 Ph: (651) 726-6200

Reviews and Comments

Nurse Practitioner Nurses in Saint Paul, MN

Leslie Ewens, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 671 Vandalia St, Saint Paul, MN 55114 Phone: 651-698-2406
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Sadie Marie Nelson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 300, Saint Paul, MN 55102 Phone: 651-241-5000 Fax: 651-240-5511
Mrs. Sarah Lynne Potts, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-241-8000
Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589
Jeanne Rancone, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517
Amy F Larson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6300 Fax: 952-967-7616

Amanda Vancene Peterson, AGACNP - Medicare Nurse Practitioner in Saint Paul, MN