AMANDA J MICKELSON (CNP) – Nurse Practitioner, NPI 1245744234
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for AMANDA J MICKELSON (CNP)
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 554254516
Phone:
Type: Mailing
921 GREELEY ST S
STILLWATER, MN 550825935
Phone: (651) 439-1234
Type: Location
North Memorial Medical Center, 3300, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States
ROBBINSDALE, MN 554222926
Phone: (763) 581-3700
Fax: (763) 581-3701
Type: Mailing
4200 DAHLBERG DR STE 300
GOLDEN VALLEY, MN 554224841
Phone: (952) 512-5600
Type: Mailing
5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 550821093
Phone: (651) 439-8807
Fax: (651) 439-0232
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-08-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180301002443 | I | Nurse Practitioner | MN | TBD |
| I20230802003442 | I | Nurse Practitioner | WI | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 38 | 19 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 14 | 13 | $0 |
Insurance plans in this area (ZIP 55425)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Orthopedic Surgery | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.