DR. NICOLE R AMUNDSON DDS
NPI 1477715514
Dentist in Coon Rapids, MN

Q: What is Nicole Amundson's NPI number?

The NPI number for Nicole Amundson is 1477715514. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Q: What is Nicole Amundson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Amundson was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 June 30, 2008PECOS Enrolled

11475 ROBINSON DR NW, COON RAPIDS, MN 55433(763) 587-9100(763) 587-9101 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Nicole R Amundson Dds NPPES

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

DR. NICOLE R AMUNDSON DDS (NPI 1477715514) is an individual dentist in Coon Rapids, Minnesota, licensed in Minnesota (D12528) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477715514

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. NICOLE R AMUNDSONCredential: DDS

Location Address11475 ROBINSON DR NWCoon Rapids, MN 55433

Mailing Address11475 Robinson Dr NwCoon Rapids, MN 55433 · (763) 587-9100 · Fax (763) 587-9101

Phone(763) 587-9100

Fax(763) 587-9101

Sole ProprietorNo

Enumeration DateJune 30, 2008

Last NPPES UpdateNovember 26, 2012

✔ NPI 1477715514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MN · D12528

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 12528 (MN)

11475 ROBINSON DR NW, Coon Rapids, MN 55433

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole R Amundson Dds 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 Reassignment

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

Group Health, Inc.

Same address

General Practice

11475 ROBINSON DR NW
Coon Rapids, MN 55433

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1184779811 (763) 754-0041

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 55433 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

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

GROUP HEALTH, INC.

Durable Medical Equipment & Medical Supplies

11475 ROBINSON DR NW
COON RAPIDS, MN 55433

Anoka County (952) 883-7469

REBECCA MAY MCDOUGLE M.D.

Family Medicine

11475 ROBINSON DR NW
COON RAPIDS, MN 55433

Anoka County (763) 587-9000

SUZANNE L SCHINZEL CNP

Nurse Practitioner

11475 ROBINSON DR NW
COON RAPIDS, MN 55433

Anoka County (763) 712-6000

RICHARD ALAN WANDERSEE MSW LICSW

Social Worker (Clinical)

11475 ROBINSON DR NW, MAIL STOP 32600A
COON RAPIDS, MN 55433

Anoka County (763) 754-4600

LAURA MAYER MD

Obstetrics & Gynecology

11475 ROBINSON DR NW
COON RAPIDS, MN 55433

Anoka County (763) 587-9000

KELSEY AMELIA BERTELSEN DO

Obstetrics & Gynecology

11475 ROBINSON DR NW, MS 32600A
COON RAPIDS, MN 55433

Anoka County (763) 587-9000

GROUP HEALTH, INC.

Dentist (General Practice)

11475 ROBINSON DR NW
COON RAPIDS, MN 55433

Anoka County (763) 754-0041

PAMELA JILL COLLINS WHNP

Nurse Practitioner

11475 ROBINSON DR NW, MAIL STOP 32600A
COON RAPIDS, MN 55433

Anoka County (763) 754-4600

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 Nicole Amundson's NPI number?

The NPI number for Nicole Amundson is 1477715514. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Nicole Amundson located?

Nicole Amundson practices at 11475 Robinson Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 587-9100.

What is Nicole Amundson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Nicole Amundson enrolled in Medicare?

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

Which organization bills Medicare for Nicole Amundson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Amundson reassigns Medicare benefits to Group Health, Inc. (Coon Rapids, 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 Nicole Amundson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Amundson was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.