AMANDA KATHRYN ROSS (PA-C) – Physician Assistant, NPI 1366832115

AMANDA KATHRYN ROSS (PA-C) is a healthcare provider. based in Bloomington, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 11724 (MN). The NPI Number for AMANDA KATHRYN ROSS (PA-C) is 1366832115

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA KATHRYN ROSS (PA-C)
NPI
1366832115
Phone
Not provided
Address
8170 33RD AVE S # MS 21110Q
Enumeration Date
2 February 2015
Last Update Date
29 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529937750
Graduation Year
2014 (12 years ago)
PAC ID
0143580092
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20180214001256
Address ID
MN553793374SH1415XAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

Provider Addresses for AMANDA KATHRYN ROSS (PA-C)

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 1158 ISLAND LAKE BOULEVARD

    WELCH, MN 55089

    Phone: (651) 385-4148

    Type: Mailing

  • 7841 AMANA TRL

    INVER GROVE HEIGHTS, MN 550772609

    Phone: (866) 389-2727

    Type: Location

  • 7841 Amana Trl

    Inver Grove Heights, MN 550772609

    Phone: (866) 389-2727

    Type: Location

  • 1415 SAINT FRANCIS AVE

    SHAKOPEE, MN 553793374

    Phone: (952) 993-7750

    Fax: (952) 993-7835

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-08-29 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-02-14

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
I20180214001256IPhysician AssistantMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes129107$0
99214Established patient office or other outpatient visit, 30-39 minutes4738$0
81003Automated urinalysis test4336$0
87400Detection test by immunoassay technique for influenza virus3215$0
36415Insertion of needle into vein for collection of blood sample2725$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What is the registry number for AMANDA KATHRYN ROSS (PA-C)?
The registry entry for AMANDA KATHRYN ROSS (PA-C) shows NPI 1366832115.
Is AMANDA KATHRYN ROSS (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists AMANDA KATHRYN ROSS (PA-C) as active.
What services align with AMANDA KATHRYN ROSS (PA-C)'s listing?
AMANDA KATHRYN ROSS (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit AMANDA KATHRYN ROSS (PA-C) in Bloomington, Minnesota?
For routing, start with Bloomington, Minnesota for AMANDA KATHRYN ROSS (PA-C), then verify phone and hours locally.
Why is information missing for AMANDA KATHRYN ROSS (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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