DR. AMANDA JEAN RICHARDSON (RN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1669104899

DR. AMANDA JEAN RICHARDSON (RN, PMHNP-BC) is a healthcare provider. based in Minnetonka, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, PMHNP-BC. They hold a License No. 179569-9 (MN). The NPI Number for DR. AMANDA JEAN RICHARDSON (RN, PMHNP-BC) is 1669104899

Main info

Organization
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA JEAN RICHARDSON (RN, PMHNP-BC)
NPI
1669104899
Phone
(612) 870-4300
Address
2000 HOPKINS XRD
Enumeration Date
27 June 2022
Last Update Date
28 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635591640
Graduation Year
2024 (2 years ago)
PAC ID
9335689488
Group Practice PAC ID
6800103490
Professional Enrollment ID
I20240904003377
Address ID
MN554424507PL9655XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for DR. AMANDA JEAN RICHARDSON (RN, PMHNP-BC)

  • 2000 HOPKINS XRD

    MINNETONKA, MN 553052500

    Phone: (612) 870-4300

    Type: Location

  • 13305 UPTON AVE S

    BURNSVILLE, MN 553372171

    Phone: (763) 913-8969

    Type: Mailing

  • 9655 SCHMIDT LAKE RD

    PLYMOUTH, MN 554424529

    Phone: (763) 559-1640

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Almatica Pharma LLC ($20).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-04

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
I20240904003377INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55305)

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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: 6800103490View full group profile
NameSpecialtyState
Nurse PractitionerMN
Clinical PsychologistGA
Nurse PractitionerMN
Registered Dietitian Or Nutrition ProfessionalMN
P S Y C H I A T R YMN
Clinical PsychologistNY

Reviews

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Frequently asked questions

What unique ID ties claims to DR. AMANDA JEAN RICHARDSON (RN, PMHNP-BC)?
NPI 1669104899 is assigned to DR. AMANDA JEAN RICHARDSON (RN, PMHNP-BC) under the national enumeration system.
Is DR. AMANDA JEAN RICHARDSON (RN, PMHNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. AMANDA JEAN RICHARDSON (RN, PMHNP-BC) work in?
You can think of DR. AMANDA JEAN RICHARDSON (RN, PMHNP-BC) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place DR. AMANDA JEAN RICHARDSON (RN, PMHNP-BC)?
The snapshot lists Minnetonka, Minnesota for DR. AMANDA JEAN RICHARDSON (RN, PMHNP-BC); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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