Amanda Mae Hartzell Middendorf, APNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Caledonia, Minnesota. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Infinite Medical Pc and her current practice location is
405 S Highway 44 76, Caledonia, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(608) 668-9118.
Amanda Mae Hartzell Middendorf is licensed to practice in Wisconsin (license number 11435) 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 1558027052.
Provider's Profile
| Full Name | Amanda Mae Hartzell Middendorf |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 5 Years |
|---|
| Location | 405 S Highway 44 76, Caledonia, Minnesota |
|---|
| 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 Mae Hartzell Middendorf graduated from nursing school in 2021
NPI Data:
- NPI Number: 1558027052
- Provider Enumeration Date: 11/10/2021
- Last Update Date: 02/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 0749670818
- Enrollment ID: I20211203000738
Medical Identifiers
Medical identifiers for Amanda Mae Hartzell Middendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558027052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 11435 (Wisconsin) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 11435 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Infinite Medical Pc | 8325477656 | 67 |
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 Mae Hartzell Middendorf allows following entities to bill medicare on her behalf.
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1225873458
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254 |
|---|
| Entity Name | Metro Infectious Disease Consultants Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1235125717
PECOS PAC ID: 3072425784
Enrollment ID: O20170209000701 |
|---|
| Entity Name | Infinite Medical Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1407483175
PECOS PAC ID: 8325477656
Enrollment ID: O20220713002757 |
|---|
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 Mae Hartzell Middendorf 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 Mae Hartzell Middendorf, APNP
405 S Highway 44 76,
Caledonia, MN 55921-1861
Ph: (608) 668-9118 | Amanda Mae Hartzell Middendorf, APNP
405 S Highway 44 76,
Caledonia, MN 55921-1861
Ph: (608) 668-9118 |
Reviews and Comments