AMELIA MARIE PRIDEAUX (DC) – Chiropractor, NPI 1053120451

AMELIA MARIE PRIDEAUX (DC) is a healthcare provider. based in Edina, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 7283 (MN). The NPI Number for AMELIA MARIE PRIDEAUX (DC) is 1053120451

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
AMELIA MARIE PRIDEAUX (DC)
NPI
1053120451
Phone
(952) 920-4528
Address
3948 W 50TH ST STE 203
Enumeration Date
1 January 2025
Last Update Date
1 January 2025

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
9529204528
Graduation Year
2024 (2 years ago)
PAC ID
0244768976
Group Practice PAC ID
9335142314
Professional Enrollment ID
I20250109000841
Address ID
MN554241253ED3948XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

Provider Addresses for AMELIA MARIE PRIDEAUX (DC)

  • 3948 W 50TH ST STE 203

    EDINA, MN 554241253

    Phone: (952) 920-4528

    Mailing address matches the actual address.

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: 2025-01-09

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
I20250109000841IChiropracticMNTBD

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 55424)

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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: 9335142314View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

Where can patients find AMELIA MARIE PRIDEAUX (DC)'s NPI?
You can confirm AMELIA MARIE PRIDEAUX (DC) with NPI 1053120451; it appears in the national provider directory.
Is AMELIA MARIE PRIDEAUX (DC)'s NPI currently valid?
The extract we use shows AMELIA MARIE PRIDEAUX (DC) as active.
Does AMELIA MARIE PRIDEAUX (DC) list a primary specialty?
If you are matching referrals, note Chiropractor for AMELIA MARIE PRIDEAUX (DC). Clinical services aligned with this taxonomy classification.
Does AMELIA MARIE PRIDEAUX (DC) practice in Minnesota?
You will see Edina, Minnesota on file for AMELIA MARIE PRIDEAUX (DC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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