Amanda Carol Houghtaling, FNP is a medicare enrolled "Nurse Practitioner - Family" in Pelican Rapids, Minnesota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sanford Clinic North, Sanford Medical Center Fargo and her current practice location is
211 E Mill St, Pelican Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 863-6100.
Amanda Carol Houghtaling is licensed to practice in Minnesota (license number 5631) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770090094.
Provider's Profile
Full Name | Amanda Carol Houghtaling |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 211 E Mill St, Pelican Rapids, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amanda Carol Houghtaling graduated from nursing school in 2017
NPI Data:
- NPI Number: 1770090094
- Provider Enumeration Date: 01/08/2018
- Last Update Date: 08/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789945908
- Enrollment ID: I20180305002002
Medical Identifiers
Medical identifiers for Amanda Carol Houghtaling such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770090094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 5631 (Minnesota) | Primary |
Medical Facilities Affiliation
Facility Name | Location | Facility Type |
Perham Health | Perham, MN | Hospital |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sanford Clinic North | 4284546151 | 84 |
Sanford Medical Center Fargo | 8426967803 | 1094 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Carol Houghtaling allows following entities to bill medicare on her behalf.
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
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Entity Name | Perham Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932113768 PECOS PAC ID: 2264327766 Enrollment ID: O20040216000182 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Carol Houghtaling is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Carol Houghtaling, FNP 901 Jenney Ave Sw Apt 212, Perham, MN 56573-2127 Ph: (701) 540-2570 | Amanda Carol Houghtaling, FNP 211 E Mill St, Pelican Rapids, MN 56572-4234 Ph: (218) 863-6100 |
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