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Dr. Amanda Nelson , MD

Pediatrics β€’ Apple Valley, MN

Active NPI 1407200736 Individual Practitioner Female Practitioner
Practice location in NPPES

15350 English Ave
Apple Valley, MN 551246252

Call 9524318500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15350 English Ave

Apple Valley, MN 551246252

Telephone 9524318500
Fax 9524318598
Organization at the Same NPPES Address or Phone
Group Health Plan Inc Facility NPI 1801957717

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Nelson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Nelson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Apple Valley and Minnesota

6 active clinicians are listed under Pediatrics with a practice address in Apple Valley, MN (1,292 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-10-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MN 68298

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 036149667

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20210303001613

Enrollment State Jurisdiction

MN

PECOS Control ID

7012202583

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

23 listed
NPI 1609510734

Doctor of Osteopathic Medicine (D.O.)

John Boettger

Physician Assistant

NPI 1053807719
Constance Braun , FNP

Nurse Practitioner

NPI 1174598841

Family Nurse Practitioner

Dr. Susan Debolt , DNP

Nurse Practitioner

NPI 1487405221

Doctor of Nursing Practice

Jaclyn Dewalt , PA-C

Physician Assistant

NPI 1912194291

Physician Assistant (Certified)

Dr. Rhea Ford , MD

Family Medicine

NPI 1285890871

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location October 08, 2024

Registered at 15350 ENGLISH AVE, APPLE VALLEY, MN 551246252 (Tel: 9524318500)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2024

Pediatrics (license number reported to NPPES: MN 68298)

πŸ“
Updated Practice Location February 24, 2021

Registered at 15290 PENNOCK LN, APPLE VALLEY, MN 551247163 (Tel: 9524318500)

πŸ“
Updated Business Mailing Address February 24, 2021

Registered at 8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 554254516 (Tel: 9524318500)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2021

Pediatrics (license number reported to NPPES: IL 036149667)

πŸ“
Updated Business Mailing Address August 20, 2019

Registered at 1001 W MADISON ST APT 607, CHICAGO, IL 606072128 (Tel: 6513257945)

βœ…
NPI Profile Active August 17, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 17, 2016

Registered at 840 S WOOD ST, CHICAGO, IL 606124325 (Tel: 3129966101)

πŸ“
Business Mailing Address (Initial Record) August 17, 2016

Registered at 208 W WASHINGTON ST, APT 813, CHICAGO, IL 606063571 (Tel: 6513257945)

πŸ‘€
Provider Name / Credentials (Initial Record) August 17, 2016

Recorded as AMANDA NELSON, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2016

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 23, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407200736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2016
Last Update: October 08, 2024
Sole Proprietor: No

Mailing Address

8170 33rd Ave S, Ms 21110q

Bloomington, MN 554254516

Phone: 9524318500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.