MR. MICKEY AMOS CNP
NPI 1942929658
Nurse Practitioner - Acute Care in Minneapolis, MN

Active since August 25, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414(612) 884-0649(612) 676-8992 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2024, Sep 6, 2022, Aug 25, 2022 (3 updates tracked since 2022).

About Mr. Mickey Amos Cnp NPPES

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

MR. MICKEY AMOS CNP (NPI 1942929658) is an individual acute care provider in Minneapolis, Minnesota, licensed in Minnesota (9438) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942929658
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. MICKEY AMOSCredential: CNP
Location Address720 WASHINGTON AVE SE STE 300Minneapolis, MN 55414-2904
Mailing Address720 Washington Ave Se Ste 300Minneapolis, MN 55414-2904 · (612) 884-0649 · Fax (612) 676-8992
Fax(612) 676-8992
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 25, 2022
Last NPPES UpdateJanuary 3, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1942929658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MN · 9438
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 9438 (MN)
720 WASHINGTON AVE SE STE 300, Minneapolis, MN 55414

Accepted 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

Mr. Mickey Amos 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 ID2769868587
PECOS Enrollment IDI20221003000932
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 Mickey Amos reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services20 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55414 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

Other Providers at the Same Location NPPES 7

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

Optometrist
720 WASHINGTON AVE SE STE 300
MINNEAPOLIS, MN 55414
Anesthesiology
720 WASHINGTON AVE SE STE 300
MINNEAPOLIS, MN 55414
Physician Assistant
720 WASHINGTON AVE SE STE 300
MINNEAPOLIS, MN 55414
Physician Assistant (Medical)
720 WASHINGTON AVE SE STE 300
MINNEAPOLIS, MN 55414
Physician Assistant
720 WASHINGTON AVE SE STE 300
MINNEAPOLIS, MN 55414
Advanced Practice Midwife
720 WASHINGTON AVE SE STE 300
MINNEAPOLIS, MN 55414
Internal Medicine (Nephrology)
720 WASHINGTON AVE SE STE 300
MINNEAPOLIS, MN 55414

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 Mickey Amos's NPI number?

The NPI number for Mickey Amos is 1942929658. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Where is Mickey Amos located?

Mickey Amos practices at 720 Washington Ave SE Ste 300, Minneapolis, MN 55414. The listed phone number is (612) 884-0649.

What is Mickey Amos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mickey Amos enrolled in Medicare?

Yes. Mickey Amos 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 Mickey Amos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mickey Amos reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and Healtheast Medical Research Institute (Saint Paul, MN). 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 Mickey Amos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mickey Amos accept?

Health plans from Sanford Health Plan list Mickey Amos 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 Mickey Amos affiliated with any hospitals?

According to CMS data, Mickey Amos is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Mickey Amos was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.