AMANDA BETH KACK FLANNERY CPNP
NPI 1902182496
Nurse Practitioner - Pediatrics in Eden Prairie, MN

Active since October 27, 2011
12200 MIDDLE SET RD STE 100, EDEN PRAIRIE, MN 55344(952) 943-8200(952) 943-8206 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Beth Kack Flannery Cpnp NPPES

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

AMANDA BETH KACK FLANNERY CPNP (NPI 1902182496) is an individual pediatrics provider in Eden Prairie, Minnesota, licensed in Minnesota (20111927) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1902182496
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameAMANDA BETH KACK FLANNERYCredential: CPNP
Location Address12200 MIDDLE SET RD STE 100Eden Prairie, MN 55344-5420
Mailing Address12200 Middle Set Rd Ste 100Eden Prairie, MN 55344-5420 · (952) 943-8200 · Fax (952) 943-8206
Fax(952) 943-8206
Sole ProprietorNo
Enumeration DateOctober 27, 2011
NPI 1902182496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MN · 20111927
12200 MIDDLE SET RD STE 100, Eden Prairie, MN 55344

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Clinical Medical Laboratory
12200 MIDDLE SET RD STE 100
EDEN PRAIRIE, MN 55344
Clinic/Center (Primary Care)
12200 MIDDLE SET RD STE 100
EDEN PRAIRIE, MN 55344

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 Flannery's NPI number?

The NPI number for Amanda Flannery is 1902182496. It was assigned to this individual provider in the NPPES registry on October 27, 2011.

Where is Amanda Flannery located?

Amanda Flannery practices at 12200 Middle Set Rd Ste 100, Eden Prairie, MN 55344. The listed phone number is (952) 943-8200.

What is Amanda Flannery's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Amanda Flannery accept?

Health plans from HealthPartners and Medica list Amanda Flannery 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 Amanda Flannery was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.