BRENDA K AMUNDSON (NP) – Nurse Practitioner, NPI 1013163922
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,748 NURSE PRACTITIONER in MN
Provider Addresses for BRENDA K AMUNDSON (NP)
2134 Bunker Lake Blvd NW Ste 100
Andover, MN 553043910
Phone: (763) 754-4396
Type: Location
Birchmont Drive Northeast, Bemidji, Beltrami County, Minnesota, 56601, United States
BEMIDJI, MN 566012600
Phone: (218) 755-2053
Fax: (218) 755-2750
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-11-21
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081121000379 | I | Nurse Practitioner | MN | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 55304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | ND | |
| Family Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | ND | |
| Clinical Psychologist | CA | |
| Family Practice, Emergency Medicine | MN | |
| Nurse Practitioner | WI | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | MN |
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