VANESSA DEDE AMANOR – Physician Assistant, NPI 1568130789
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for VANESSA DEDE AMANOR
3960 COON RAPIDS BLVD NW
SUITE 301
COON RAPIDS, MN 554332598
Phone: (651) 999-6800
Fax: (833) 905-2114
Type: Location
3001 Metro Drive
Suite 460
Bloomington, MN 55425
Phone: (651) 999-7022
Fax: (651) 999-6970
Type: Location
4053 NEVADA AVE N
NEW HOPE, MN 554271339
Phone: (651) 208-2568
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $787.
Total Amount is formed as General ($787) + Research ($0) + Ownership ($0) = $787.
Last reported payment date: 2024-12-22 • Largest payer in this snapshot: Medtronic, Inc. ($315).
Total Amount
$787
General + Research + Ownership
Payments
26
Total payment records
General Amount
$787
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $315 |
| COLOPLAST CORP | $141 |
| 180 Medical, Inc. | $77 |
| Boston Scientific Corporation | $44 |
| Dendreon Pharmaceuticals LLC | $30 |
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: 2024-04-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240403003487 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55433)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| P A T H O L O G Y | MN | |
| U R O L O G Y | MN | |
| Physician Assistant | MN | |
| Diagnostic Radiology, Interventional Radiology | IA | |
| - | MN | |
| U R O L O G Y | MN | |
| Physician Assistant | MN | |
| U R O L O G Y | MN |
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.