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AMANDA J MICKELSON CNP
NPI 1245744234
Nurse Practitioner - Gerontology in Oak Park Heights, MN

Active since November 29, 2017PECOS EnrolledAccepts Medicare Assignment
5715 MEMORIAL AVE N, OAK PARK HEIGHTS, MN 55082(651) 439-8807(651) 439-0232 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2023, Jan 16, 2023, Dec 10, 2020 and 1 more (4 updates tracked since 2017).

About Amanda J Mickelson Cnp NPPES

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

AMANDA J MICKELSON CNP (NPI 1245744234) is an individual gerontology provider in Oak Park Heights, Minnesota, licensed in Minnesota (5658) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245744234
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameAMANDA J MICKELSONCredential: CNP
Location Address5715 MEMORIAL AVE NOak Park Heights, MN 55082-1093
Mailing Address3500 American Blvd W Ste 300Bloomington, MN 55431-4442 · (952) 512-5600
Phone(651) 439-8807
Fax(651) 439-0232
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 29, 2017
Last NPPES UpdateJune 17, 20264 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1245744234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in MN · 5658✔ Licensed in WI · 10032-33
5715 MEMORIAL AVE N, Oak Park Heights, MN 55082
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda J Mickelson Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739440058
PECOS Enrollment IDI20180301002443
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

4

Medicare enrollment records show Amanda Mickelson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health, Inc.
1.4 mi
Family Medicine
1500 CURVE CREST BLVD W
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1427420181 (Wisconsin)
  • 2,274 clinicians in this Medicare group
NPI 1245608454 (651) 439-1234
Westfields Hospital, Inc.
16 mi
Critical Access
535 HOSPITAL ROAD
New Richmond, WI 54017
  • Reassigned Medicare billing, Wisconsin enrollment
  • 357 clinicians in this Medicare group
NPI 1881640183 (715) 243-2600
Infinite Health Collaborative, PA
26 mi
Orthopaedic Surgery
3500 AMERICAN BLVD W STE 300
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 728 clinicians in this Medicare group
NPI 1164474250 (952) 512-5600
Amery Regional Medical Center, Inc.
30 mi
Critical Access
265 GRIFFIN ST E
Amery, WI 54001
  • Reassigned Medicare billing, Wisconsin enrollment
  • 348 clinicians in this Medicare group
NPI 1093763518 (715) 268-8000

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55082 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 18

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

MARGARET M FAUST PA-C
Physician Assistant
5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807
AUNDREA DENISE RAINVILLE M.D.
Orthopaedic Surgery (Hand Surgery)
5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807
DEREK ALLEN LAHTI PT
Physical Therapist
5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807
INFINITE HEALTH COLLABORATIVE, PA
Durable Medical Equipment & Medical Supplies
5715 MEMORIAL AVE N
STILLWATER, MN 55082
Washington County (651) 439-8807
KALLI JO FANNING PT
Physical Therapist
5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807
MCKENZIE NICOLE TIRREL OSTENDORF PT
Physical Therapist
5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807
JASON PAUL DIETERLE DO
Orthopaedic Surgery (Sports Medicine)
5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807
ALEXANDER ROHNE MOREHEAD PA-C
Physician Assistant
5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082
Washington County (651) 439-8807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Mickelson's NPI number?

The NPI number for Amanda Mickelson is 1245744234. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Where is Amanda Mickelson located?

Amanda Mickelson practices at 5715 Memorial Ave N, Oak Park Heights, MN 55082. The listed phone number is (651) 439-8807.

What is Amanda Mickelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Amanda Mickelson enrolled in Medicare?

Yes. Amanda Mickelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amanda Mickelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Mickelson reassigns Medicare benefits to 4 organizations: Group Health, Inc. (Stillwater, MN), Westfields Hospital, Inc. (New Richmond, WI), Infinite Health Collaborative, PA (Bloomington, MN) and Amery Regional Medical Center, Inc. (Amery, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Mickelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Mickelson accept?

Health plans from HealthPartners list Amanda Mickelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amanda Mickelson affiliated with any hospitals?

According to CMS data, Amanda Mickelson is affiliated with Lakeview Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Mickelson was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.