AMANDA JOY EDMOND (PA-C) – Physician Assistant, NPI 1770767683
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for AMANDA JOY EDMOND (PA-C)
4884 Miller Trunk Hwy
Hermantown, MN 558111504
Phone: (218) 249-5700
Fax: (218) 249-4666
Type: Location
4884, Miller Trunk Highway, Hermantown, Saint Louis County, Minnesota, 55811, United States
HERMANTOWN, MN 558111504
Phone: (218) 249-5700
Fax: (218) 249-4666
Type: Mailing
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Phone: (480) 256-6444
Fax: (480) 256-3359
Type: Mailing
559 N 95TH PL
MESA, AZ 852077045
Phone: (320) 224-3363
Type: Mailing
76 W GUADALUPE RD
GILBERT, AZ 852333349
Phone: (602) 755-0800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $753.
Total Amount is formed as General ($753) + Research ($0) + Ownership ($0) = $753.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Amgen Inc. ($150).
Total Amount
$753
General + Research + Ownership
Payments
14
Total payment records
General Amount
$753
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $150 |
| Regeneron Healthcare Solutions, Inc. | $122 |
| Janssen Biotech, Inc. | $117 |
| AngioDynamics, Inc. | $95 |
| BIOTRONIK INC. | $77 |
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: 2022-01-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080327000423 | I | Physician Assistant | MN | TBD |
| I20220120001811 | I | Physician Assistant | AZ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 172 | 89 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 121 | 71 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 60 | 26 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 11 | 11 | $0 |
Insurance plans in this area (ZIP 55811)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | NC | |
| Physician Assistant | AZ | |
| - | AZ | |
| Cardiovascular Disease (Cardiology) | AZ | |
| Physician Assistant | NC | |
| Physician Assistant | FL | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ |
Reviews
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