Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Boettger, PA-C

Individual provider Physician Assistant · NPI 1548778665

Amanda Boettger, PA-C is a Physician Assistant in Maplewood, Minnesota. Qualified in 2017, 9 years ago. Practices with Emergency Care Consultants PA, a 105-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
9
Licensed in
MN, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1575 Beam Ave
Maplewood, MN 55109-1169
Phone: (651) 232-7348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1925 Woodwinds Dr, Woodbury, MN 55125-4445 — (651) 232-0348

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12596 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 8981-23 (WI)

Record details

NPI number1548778665
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 11, 2018
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Emergency Care Consultants Pa — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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