Amanda J Mickelson, CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Oak Park Heights, Minnesota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Healthpartners Medical Group and her current practice location is
5715 Memorial Ave N, Oak Park Heights, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 439-8807.
Amanda J Mickelson is licensed to practice in Minnesota (license number 1850563) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245744234.
Provider's Profile
Full Name | Amanda J Mickelson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 5715 Memorial Ave N, Oak Park Heights, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amanda J Mickelson graduated from nursing school in 2017
NPI Data:
- NPI Number: 1245744234
- Provider Enumeration Date: 11/29/2017
- Last Update Date: 11/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739440058
- Enrollment ID: I20180301002443
Medical Identifiers
Medical identifiers for Amanda J Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245744234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LG0600X | Nurse Practitioner - Gerontology | 1850563 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Healthpartners Medical Group | 1759293954 | 1430 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda J Mickelson allows following entities to bill medicare on her behalf.
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
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Entity Name | Infinite Health Collaborative Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda J Mickelson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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