MRS. AMANDA MARGARET BEHNEN (PA-C) – Physician Assistant, NPI 1356900492

MRS. AMANDA MARGARET BEHNEN (PA-C) is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2019009093 (MO). The NPI Number for MRS. AMANDA MARGARET BEHNEN (PA-C) is 1356900492

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA MARGARET BEHNEN (PA-C)
NPI
1356900492
Phone
(314) 229-3664
Address
5922 SHORTLEAF CT
Enumeration Date
12 June 2019
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3149931714
Graduation Year
2018 (8 years ago)
PAC ID
0345673596
Group Practice PAC ID
1153689294
Professional Enrollment ID
I20191203000752
Address ID
MO631223356SA2325XRDXX408
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for MRS. AMANDA MARGARET BEHNEN (PA-C)

  • 5922, Shortleaf Court, South Hill, Saint Louis County, Missouri, 63128, United States

    SAINT LOUIS, MO 631284306

    Phone: (314) 229-3664

    Type: Mailing

  • State Route 162, Maryville, Madison County, Illinois, 62062, United States

    MARYVILLE, IL 620628586

    Phone: (618) 288-0044

    Fax: (618) 288-0066

    Type: Location

  • 8888 LADUE RD STE 120

    SAINT LOUIS, MO 631242056

    Phone: (314) 344-0004

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 232 Open Payments records for all available years, with a total value of $4,165.

Total Amount is formed as General ($4,165) + Research ($0) + Ownership ($0) = $4,165.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($913).

Total Amount

$4,165

General + Research + Ownership

Payments

232

Total payment records

General Amount

$4,165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2019-12-03

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
I20191203000752IPhysician AssistantMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63128)

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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: 1153689294View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
D E R M A T O L O G YMO
D E R M A T O L O G YMO
Physician AssistantMO
D E R M A T O L O G YMO
Physician AssistantTX
Physician AssistantMO
D E R M A T O L O G YMO
-MO
D E R M A T O L O G YMO

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. AMANDA MARGARET BEHNEN (PA-C)'s NPI?
Yes. MRS. AMANDA MARGARET BEHNEN (PA-C) is listed with NPI 1356900492 in the public NPI dataset.
Does CMS list MRS. AMANDA MARGARET BEHNEN (PA-C) as active?
Yes — MRS. AMANDA MARGARET BEHNEN (PA-C) is active in the NPI listing used on this page.
What is MRS. AMANDA MARGARET BEHNEN (PA-C)'s specialty?
The listing groups MRS. AMANDA MARGARET BEHNEN (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. AMANDA MARGARET BEHNEN (PA-C)?
MRS. AMANDA MARGARET BEHNEN (PA-C)'s geographic hint is Saint Louis, Missouri in our summary view.
Why does MRS. AMANDA MARGARET BEHNEN (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.