| Amanda J Mickelson, CNP | |
|
5715 Memorial Ave N, Oak Park Heights, MN 55082-1093 | |
| (651) 439-8807 | |
| (651) 439-0232 |
| Full Name | Amanda J Mickelson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 5715 Memorial Ave N, Oak Park Heights, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245744234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 1850563 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeview Memorial Hospital | Stillwater, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infinite Health Collaborative, Pa | 1052225042 | 803 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Infinite Health Collaborative, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda J Mickelson, CNP 4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841 Ph: (952) 512-5600 | Amanda J Mickelson, CNP 5715 Memorial Ave N, Oak Park Heights, MN 55082-1093 Ph: (651) 439-8807 |
Ms. Sheryl Delynn Schulte, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5803 Neal Ave N, Twin Cities Orthopedics, Oak Park Heights, MN 55082 Phone: 651-439-8807 Fax: 651-439-0232 | |
Emily Jean Campbell, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5995 Oren Ave N Ste 203, Oak Park Heights, MN 55082 Phone: 651-217-1480 Fax: 833-972-5926 |