Individual provider Active NPI

Amanda Louise Stanhope, CNP

  • Family Nurse Practitioner
  • Edina, MN
National Provider Identifier
1548845332
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8047 Issued in MN
Practice address
3400 W 66TH St Ste 385
Edina, MN 55435-2197
Phone
(952) 927-6561
Fax
(952) 927-6569
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 8047 MN
Family Nurse Practitioner 363LF0000X 8047 MN Primary

Addresses

Primary practice location

3400 W 66TH St Ste 385
Edina, MN 55435-2197

Mailing address

19 Birchwood LN
Saint Paul, MN 55110-1609
Phone (262) 442-7658

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408001447 MN Practitioner - Nurse Practitioner 6800203993 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

3400 W 66TH St
Suite 240
Edina, MN 55435-2100
Phone (952) 857-0304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8047MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Oct 1, 2023 Accepting new patients
Fairview Clinics CurrentSince Oct 1, 2023 Accepting new patients
Fairview Health Services Current Accepting new patients
Minnesota Oncology Hematology, PA Family CurrentSince May 8, 2022 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2023 Accepting new patients
Fairview Health Services Current Accepting new patients
Minnesota Oncology Hematology, PA Family Current Accepting new patients
Fairview Clinics CurrentSince Oct 1, 2023 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2023 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jul 1, 2024 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Health Services CurrentSince Oct 1, 2023 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jul 1, 2024 Accepting new patients
Minnesota Oncology Hematology PA CurrentSince May 8, 2022 Accepting new patients
Fairview Express Care Current Accepting new patients
St. Croix Orthopaedics, PA Past Accepting new patients
Minnesota Oncology Hematology, PA Past Accepting new patients
Minnesota Oncology Hematology, PA PastSince Jan 12, 2020 Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

3400 W 66th St
Ste 240
Edina, MN 55435
Phone (952) 857-0304

800 Freeport Ave NW
Ste 100
Elk River, MN 55330
Phone (763) 581-5200

9855 Hospital Dr
Ste 104
Maple Grove, MN 55369
Phone (763) 581-5900

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220

606 24th Ave S
Ste 400
Minneapolis, MN 55454
Phone (612) 273-2223

3400 W 66th St
Ste 385
Minneapolis, MN 55435
Phone (952) 920-2761

6545 France Ave S
Ste 510
Minneapolis, MN 55435
Phone (612) 927-7079

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

Interoperability endpoints

  • Direct secure messaging: amanda.stanhope@moh.ikm.direct-ci.com

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1548845332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BIRCHWOOD LN",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551101609",
            "telephone_number": "262-442-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST STE 385",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352197",
            "telephone_number": "952-927-6561",
            "fax_number": "952-927-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANHOPE",
        "first_name": "AMANDA",
        "middle_name": "LOUISE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "8047",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.