Amanda Pederson, NP - Medicare Nurse Practitioner in Walker, MN

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Amanda Pederson, NP is a medicare enrolled "Nurse Practitioner - Family" in Walker, Minnesota. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sanford Health Of Northern Minnesota and her current practice location is 614 Michigan Ave W, Walker, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 547-7700.

Amanda Pederson is licensed to practice in Minnesota (license number R140359-6) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457452187.

Contact Information

Amanda Pederson, NP
614 Michigan Ave W,
Walker, MN 56484-2276
(218) 547-7700
(218) 547-3922

Map and Direction




Provider's Profile

Full NameAmanda Pederson
GenderFemale
SpecialityNurse Practitioner
Experience23 Years
Location614 Michigan Ave W, Walker, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Pederson graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1457452187
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 03/05/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5092996884
  • Enrollment ID: I20140220001519

Medical Identifiers

Medical identifiers for Amanda Pederson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457452187NPI-NPPES
337486600MedicaidMN
58G74WAOtherMNBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 10554 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family R140359-6 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Bemidji Medical CenterBemidji, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Health Of Northern Minnesota5597725168284

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Pederson allows following entities to bill medicare on her behalf.
Entity NameSanford Health Of Northern Minnesota
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770849697
PECOS PAC ID: 5597725168
Enrollment ID: O20041025000442

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Pederson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Pederson, NP
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: (605) 328-6585		Amanda Pederson, NP
614 Michigan Ave W,
Walker, MN 56484-2276

Ph: (218) 547-7700

Reviews and Comments


Nurse Practitioner Nurses in Walker, MN

Ms. Rachel Diane Erickson, APRN, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 110 Michigan Ave W, Walker, MN 56484
Phone: 218-547-3452    
Kelsey R Stay, APRN,CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 Michigan Ave W, Walker, MN 56484
Phone: 218-547-3452    
Tamera Lyn Mahaffey, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 614 Michigan Ave W, Walker, MN 56484
Phone: 218-547-7700    
Ms. Katherine Marie Miller, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 614 Michigan Ave W, Walker, MN 56484
Phone: 218-547-7700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.