Active NPI
Amanda Lee Johnson Fleming, CPNP-PC
- Pediatric Nurse Practitioner
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- CNP4983
- Practice address
- 6600 City West Pkwy Ste 200
Eden Prairie, MN 55344-7707 - Phone
- (612) 356-2756
- Fax
- (712) 712-9214
- NPI assigned
- Jan 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | CNP4983 | MN | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP4983 | MN |
Addresses
Primary practice location
6600 City West Pkwy Ste 200
Eden Prairie, MN 55344-7707
Mailing address
6600 City West Pkwy Ste 200
Eden Prairie, MN 55344-7707
Phone (612) 356-2756
Other practice location 1
11010 Prairie Lakes Dr
#350
Eden Prairie, MN 55344-3884
Phone (952) 746-2522
Other practice location 2
18562 Minobimaadizi Loop
Onamia, MN 56359-3001
Phone (320) 532-4163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP4983 | MN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Current | Accepting new patients | |
| Mille Lacs Band of Ojibwe Indians | Past | Accepting new patients | |
| Schneider Psychological & Behavioral Service | Psychiatric/Mental Health | Past | Accepting new patients |
| Family Support Services Inc. | Past | Accepting new patients |
Locations
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
Interoperability endpoints
- ajohnsonfleming827876@direct.centracare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
- Mental Health Counselor
- New Brighton, MN
- NPI 1467549220
-
- Federally Qualified Health Center (FQHC)
- Onamia, MN
- NPI 1740357169
-
- Clinical Psychologist
- Eden Prairie, MN
- NPI 1801305578
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1417494998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 CITY WEST PKWY STE 200",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447707",
"telephone_number": "612-356-2756",
"fax_number": "612-712-9214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 CITY WEST PKWY STE 200",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447707",
"telephone_number": "612-356-2756",
"fax_number": "712-712-9214"
}
],
"practiceLocations": [
{
"address_1": "11010 Prairie Lakes Dr",
"address_2": "#350",
"address_purpose": "LOCATION",
"city": "Eden Prairie",
"state": "MN",
"postal_code": "553443884",
"country_code": "US",
"telephone_number": "952-746-2522",
"fax_number": "952-746-0887",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18562 Minobimaadizi Loop",
"address_purpose": "LOCATION",
"city": "Onamia",
"state": "MN",
"postal_code": "563593001",
"country_code": "US",
"telephone_number": "320-532-4163",
"fax_number": "320-532-7573",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON FLEMING",
"first_name": "AMANDA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-23",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "CNP4983",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "CNP4983",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.