MARY ELIZABETH AMUNDSON APRN, CNP
NPI 1003439241
Pediatrics in Saint Cloud, MN

Q: What is Mary Amundson's NPI number?

The NPI number for Mary Amundson is 1003439241. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Q: What is Mary Amundson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Amundson was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2020PECOS Enrolled

1406 6TH AVE N, SAINT CLOUD, MN 56303(320) 251-2700 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 8, 2022, Oct 13, 2021, May 22, 2020 (3 updates tracked since 2020).

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About Mary Elizabeth Amundson Aprn, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELIZABETH AMUNDSON APRN, CNP (NPI 1003439241) is an individual pediatrics provider in Saint Cloud, Minnesota, licensed in Minnesota (8600) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1003439241

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY ELIZABETH AMUNDSONCredential: APRN, CNP

Location Address1406 6TH AVE NSaint Cloud, MN 56303-1900

Mailing Address3330 Old Stone Way NeSauk Rapids, MN 56379-4569 · (320) 420-4421

Phone(320) 251-2700

Sole ProprietorNo

Enumeration DateMay 22, 2020

Last NPPES UpdateNovember 8, 20223 updates tracked since enumeration

NPPES CertifiedNovember 8, 2022

✔ NPI 1003439241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 8600

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 2284442 (MN)

1406 6TH AVE N, Saint Cloud, MN 56303

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Secondary Practice Location 1

Location 12450 Riverside AveMinneapolis, MN 55454-1450 · Phone (612) 365-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Amundson Aprn, Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Mary Amundson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centracare Clinic

0.1 mi

Primary Care

1200 6TH AVE N
Saint Cloud, MN 56303

Reassigned Medicare billing, Minnesota enrollment
1,051 clinicians in this Medicare group

NPI 1538696323 (320) 252-5131

Unity Family Healthcare

20 mi

Family Medicine

320 3RD AVE
Albany, MN 56307

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1326234006 (Minnesota)
205 clinicians in this Medicare group

NPI 1093753642 (320) 845-2157

Fairview Express Care

28 mi

Family Medicine

911 NORTHLAND DR
Princeton, MN 55371

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1841673647 (763) 389-7740

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXA HERBST

Clinical Exercise Physiologist