| Mrs Amanda Lee Johnson Fleming, CPNP-PC | |
|
6600 City West Pkwy Ste 200, Eden Prairie, MN 55344-7707 | |
| (612) 356-2756 | |
| (712) 712-9214 |
| Full Name | Mrs Amanda Lee Johnson Fleming |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 6600 City West Pkwy Ste 200, Eden Prairie, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417494998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | CNP4983 (Minnesota) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP4983 (Minnesota) | Secondary |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amanda Lee Johnson Fleming, CPNP-PC 6600 City West Pkwy Ste 200, Eden Prairie, MN 55344-7707 Ph: (612) 356-2756 | Mrs Amanda Lee Johnson Fleming, CPNP-PC 6600 City West Pkwy Ste 200, Eden Prairie, MN 55344-7707 Ph: (612) 356-2756 |
Chad Lee Stencel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8941 Aztec Dr, Eden Prairie, MN 55347 Phone: 612-990-5849 Fax: 952-303-4708 | |
Mr. Michael W. Phillips, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Optum Cir, Eden Prairie, MN 55344 Phone: 800-561-0861 | |
Rachel Maguy Pierre, ARNP-FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344 Phone: 888-445-8745 | |
Nimo Saleban Abdi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10067 Gristmill Rdg, Eden Prairie, MN 55347 Phone: 612-226-2747 Fax: 612-465-4884 | |
Jill Marie Scholz, RN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274 | |
Kristofer Bristol, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-999-0333 | |
Katie L Seremet, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-999-0333 Fax: 952-300-2558 |