AMY KAY BOSTIC (PA-C) – Physician Assistant, NPI 1467481994

AMY KAY BOSTIC (PA-C) is a healthcare provider. based in Plymouth, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9942 (MN). The NPI Number for AMY KAY BOSTIC (PA-C) is 1467481994

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
AMY KAY BOSTIC (PA-C)
NPI
1467481994
Phone
(763) 587-7900
Address
15655 37TH AVE N
Enumeration Date
30 June 2006
Last Update Date
7 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635877900
Graduation Year
2004 (22 years ago)
PAC ID
3476621772
Group Practice PAC ID
2769384205
Professional Enrollment ID
I20081013000568
Address ID
MN554222007CR5109XNXXX400

Contacts

Secure Messaging
amy.bostic@nor.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,032 PHYSICIAN ASSISTANT in MN

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Provider Addresses for AMY KAY BOSTIC (PA-C)

  • 37th Avenue North, Plymouth, Hennepin County, Minnesota, 55441, United States

    SUITE 100

    PLYMOUTH, MN 55446

    Phone: (763) 587-7900

    Fax: (763) 587-7989

    Type: Mailing

  • 9201 W BROADWAY AVE STE 601

    BROOKLYN PARK, MN 554451924

    Phone: (763) 587-7900

    Fax: (763) 587-7066

    Type: Mailing

  • 15655 37TH AVE N STE 100

    PLYMOUTH, MN 554464003

    Phone: (763) 587-7900

    Fax: (763) 587-7701

    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 $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-09-26 • Largest payer in this snapshot: Dexcom, Inc. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$125
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: 2008-10-13

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
I20081013000568IPhysician 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 minutes6151$0
36415Insertion of needle into vein for collection of blood sample4633$0
99214Established patient office or other outpatient visit, 30-39 minutes2719$0
80048Blood test, basic group of blood chemicals (calcium, total)2219$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 55446)

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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: 2769384205View full group profile
NameSpecialtyState
-MN
Colorectal Surgery (Proctology)MN
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
Internal Medicine, RheumatologyMN
Nurse PractitionerMN
Family PracticeMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Colorectal Surgery (Proctology)MN
Internal Medicine, GastroenterologyMN

Reviews

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Frequently asked questions

Where can patients find AMY KAY BOSTIC (PA-C)'s NPI?
You can confirm AMY KAY BOSTIC (PA-C) with NPI 1467481994; it appears in the national provider directory.
Does this profile mean AMY KAY BOSTIC (PA-C) is currently active?
Yes — AMY KAY BOSTIC (PA-C) appears active in the national provider directory.
Can you summarize AMY KAY BOSTIC (PA-C)'s specialty in plain language?
Clinically, the directory lists AMY KAY BOSTIC (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for AMY KAY BOSTIC (PA-C)?
We surface Plymouth, Minnesota for AMY KAY BOSTIC (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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