MS. AMANDA JO PETRI (M.A.) – Audiologist, NPI 1760547269

MS. AMANDA JO PETRI (M.A.) is a healthcare provider. based in Woodbury, Minnesota. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.A.. They hold a License No. 8026 (MN). The NPI Number for MS. AMANDA JO PETRI (M.A.) is 1760547269

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMANDA JO PETRI (M.A.)
NPI
1760547269
Phone
(651) 702-0750
Address
2080 WOODWINDS DR
Enumeration Date
26 December 2006
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517020750
Graduation Year
2006 (20 years ago)
PAC ID
5496843310
Group Practice PAC ID
1658268651
Professional Enrollment ID
I20071110000020
Address ID
MN551255805WO217XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

264 QUALIFIED AUDIOLOGIST in MN

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Provider Addresses for MS. AMANDA JO PETRI (M.A.)

  • Woodwinds Drive, Woodbury, Washington County, Minnesota, 55125, United States

    SUITE 240

    WOODBURY, MN 551252523

    Phone: (651) 702-0750

    Type: Mailing

  • 1675, Beam Avenue, Maplewood, Ramsey County, Minnesota, 55109, United States

    SUITE 200

    MAPLEWOOD, MN 551091172

    Phone: (651) 770-1105

    Fax: (651) 770-1226

    Type: Location

  • 3590 Arcade St

    Vadnais Heights, MN 551277135

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 3460 Promenade Ave

    Eagan, MN 551234404

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 11020 161st Street West

    Lakeville, MN 55044

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 215 RADIO DR STE 202

    WOODBURY, MN 551255822

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Mailing

  • 217 RADIO DR

    WOODBURY, MN 551255805

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

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: 2007-11-10

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
I20071110000020IQualified AudiologistMNTBD

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
92557Comprehensive hearing and speech recognition test5857$0
92567Test to assess middle ear function3333$0
View full utilization report →

Insurance plans in this area (ZIP 55125)

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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: 1658268651View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMN
Otolaryngology, Plastic And Reconstructive SurgeryMN
O T O L A R Y N G O L O G YMN
O T O L A R Y N G O L O G YMN
Physician AssistantMN
Physician AssistantMN
Qualified AudiologistMN
Qualified AudiologistMN
Qualified AudiologistMN
Nurse PractitionerWI

Reviews

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Frequently asked questions

Can I use this page to confirm MS. AMANDA JO PETRI (M.A.)'s NPI?
Yes. MS. AMANDA JO PETRI (M.A.) is listed with NPI 1760547269 in the public NPI dataset.
Is MS. AMANDA JO PETRI (M.A.) listed as active for patients and plans?
The listing shows MS. AMANDA JO PETRI (M.A.) as active in the NPI system.
What is MS. AMANDA JO PETRI (M.A.)'s primary classification?
Audiologist is the headline specialty for MS. AMANDA JO PETRI (M.A.) here. Clinical services aligned with this taxonomy classification.
Where should I expect MS. AMANDA JO PETRI (M.A.) on a map?
Expect Woodbury, Minnesota as a primary anchor for MS. AMANDA JO PETRI (M.A.) unless the record lists multiple sites.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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