AMANDA B WELLE (RN CNP) – Adult Health Nurse Practitioner, NPI 1184970444

AMANDA B WELLE (RN CNP) is a healthcare provider. based in St cloud, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials RN CNP. They hold a License No. R191079-1 (MN). The NPI Number for AMANDA B WELLE (RN CNP) is 1184970444

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA B WELLE (RN CNP)
NPI
1184970444
Phone
(320) 240-2826
Address
1200 SIXTH AVE N
Enumeration Date
24 July 2012
Last Update Date
18 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202525131
Graduation Year
2012 (14 years ago)
PAC ID
0345490678
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20121023000637
Address ID
MN563032735SA1200XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for AMANDA B WELLE (RN CNP)

  • 1200 SIXTH AVE N

    CENTRACARE CLINIC

    ST CLOUD, MN 563032735

    Phone: (320) 240-2826

    Fax: (320) 259-5896

    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: 2012-10-23

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
I20121023000637INurse PractitionerMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2819$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment1616$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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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: 2466363395View full group profile

Reviews

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Frequently asked questions

How do payers reference AMANDA B WELLE (RN CNP)?
For AMANDA B WELLE (RN CNP), use NPI 1184970444 as the unique 10-digit identifier.
Would AMANDA B WELLE (RN CNP) appear as active to a payer?
You can treat AMANDA B WELLE (RN CNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for AMANDA B WELLE (RN CNP)?
At a glance, AMANDA B WELLE (RN CNP) is tied to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMANDA B WELLE (RN CNP)?
Travel planning: use St Cloud, Minnesota as the reference point for AMANDA B WELLE (RN CNP), then confirm.
When was this NPI issued?
Enumeration for AMANDA B WELLE (RN CNP) is noted as July 24, 2012 where the registry provides it.

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