ABIGAIL AMUNDSON CLINICAL INTERN
NPI 1306322433
Counselor - Professional in Minnetonka, MN

Active since July 11, 2018PECOS Enrolled
13911 RIDGEDALE DR STE 460, MINNETONKA, MN 55305(763) 445-9175(888) 675-8262 Get Directions Write a Review

NPPES record last updated: January 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 15, 2020, Oct 16, 2019, Jul 11, 2018 (3 updates tracked since 2018).

About Abigail Amundson Clinical Intern NPPES

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

ABIGAIL AMUNDSON CLINICAL INTERN (NPI 1306322433) is an individual professional provider in Minnetonka, Minnesota and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Maple Grove, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306322433
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameABIGAIL AMUNDSONCredential: CLINICAL INTERN
Location Address13911 RIDGEDALE DR STE 460Minnetonka, MN 55305-1777
Mailing Address13911 Ridgedale Dr Ste 460Minnetonka, MN 55305-1777 · (763) 445-9175 · Fax (888) 675-8262
Fax(888) 675-8262
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 11, 2018
Last NPPES UpdateJanuary 15, 20203 updates tracked since enumeration
✔ NPI 1306322433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
13911 RIDGEDALE DR STE 460, Minnetonka, MN 55305

Secondary Practice Location 1

Location 112000 Elm Creek Blvd N Ste L70Maple Grove, MN 55369-7167 · Phone (763) 898-3838

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abigail Amundson Clinical Intern is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163871815
PECOS Enrollment IDI20240125004032
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 Reassignment

Medicare enrollment records show Abigail Amundson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
1751 TOWER DR W STE 200
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota enrollment
  • 24 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 3

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

Marriage & Family Therapist
13911 RIDGEDALE DR STE 460
MINNETONKA, MN 55305
Social Worker
13911 RIDGEDALE DR STE 460
MINNETONKA, MN 55305
Psychologist
13911 RIDGEDALE DR STE 460
MINNETONKA, MN 55305

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 Abigail Amundson's NPI number?

The NPI number for Abigail Amundson is 1306322433. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Abigail Amundson located?

Abigail Amundson practices at 13911 Ridgedale Dr Ste 460, Minnetonka, MN 55305. The listed phone number is (763) 445-9175.

What is Abigail Amundson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Abigail Amundson enrolled in Medicare?

Yes. Abigail Amundson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abigail Amundson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abigail Amundson reassigns Medicare benefits to Rush Inc (Stillwater, MN). The 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 Abigail Amundson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abigail Amundson accept?

Health plans from HealthPartners list Abigail Amundson 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.

When was this NPI record last updated?

The NPPES record for Abigail Amundson was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.