AMANDA FITZGERALD (SLP) – Speech-Language Pathologist, NPI 1285313817

AMANDA FITZGERALD (SLP) is a healthcare provider. based in Farmington, Minnesota. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. 9494 (MN). The NPI Number for AMANDA FITZGERALD (SLP) is 1285313817

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA FITZGERALD (SLP)
NPI
1285313817
Phone
(651) 460-6285
Address
905 ELM ST
Enumeration Date
12 July 2023
Last Update Date
12 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5076469495
Graduation Year
2015 (11 years ago)
PAC ID
9638609092
Group Practice PAC ID
1254655434
Professional Enrollment ID
I20250214000065
Address ID
MN550571334NO900XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

239 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MN

Provider Addresses for AMANDA FITZGERALD (SLP)

  • 905 ELM ST

    FARMINGTON, MN 550241188

    Phone: (651) 460-6285

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250214000065IQualified Speech Language PathologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254655434View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeSD
Occupational Therapist In Private PracticeMN
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeSD
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

Can I cross-check AMANDA FITZGERALD (SLP) using NPI 1285313817?
NPI 1285313817 belongs to AMANDA FITZGERALD (SLP); compare other details if you need extra assurance.
Would AMANDA FITZGERALD (SLP) appear as active to a payer?
You can treat AMANDA FITZGERALD (SLP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe AMANDA FITZGERALD (SLP)'s focus?
For AMANDA FITZGERALD (SLP), the primary taxonomy reads as Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Is AMANDA FITZGERALD (SLP) located near Farmington?
AMANDA FITZGERALD (SLP) currently maps to Farmington, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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