AMANDA N YUDELL (PA-C) – Physician Assistant, NPI 1710328083
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AMANDA N YUDELL (PA-C)
9201 W BROADWAY AVE
SUITE 601
BROOKLYN PARK, MN 554451923
Phone: (763) 587-7900
Fax: (763) 587-7989
Type: Mailing
50 CENTRAL AVE
OSSEO, MN 553691241
Phone: (763) 587-7900
Fax: (763) 587-7989
Type: Location
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone: (605) 328-6585
Type: Mailing
1656 CENTRAL ST W
BAGLEY, MN 566214357
Phone: (218) 694-2384
Fax: (763) 587-7989
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 $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Exact Sciences Corporation ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $15 |
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: 2013-10-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131017001453 | I | Physician Assistant | MN | TBD |
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.
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 55445)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| A N E S T H E S I O L O G Y | MN | |
| Nurse Practitioner | SD | |
| - | MN | |
| Diagnostic Radiology | MN | |
| N E U R O L O G Y | MN | |
| - | ND | |
| - | MN | |
| O P T O M E T R Y | SD | |
| Nurse Practitioner | ND |
Reviews
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