Individual provider Active NPI

Amanda Sue Wollschlager, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Park Rapids, MN
National Provider Identifier
1720787237
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9976 Issued in MN
Practice address
201 1St St E Ste 220
Park Rapids, MN 56470-1612
Phone
(218) 203-9215
Fax
(479) 482-3600
NPI assigned
Feb 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9976 MN Primary

Addresses

Primary practice location

201 1St St E Ste 220
Park Rapids, MN 56470-1612

Mailing address

201 1St St E Ste 220
Park Rapids, MN 56470-1612
Phone (218) 203-9215

Other practice location 1

270 Main St N Ste 300
Stillwater, MN 55082-6788
Phone (651) 342-1039

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
I20230430000033 MN Practitioner - Nurse Practitioner 4082079843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Relate IncGroup PAC ID 8224005491, 22 clinicians

Practice addresses (Care Compare)

201 1St St E
Suite 220
Park Rapids, MN 56470-1612
Phone (218) 203-9215

5125 County Rd
101 Suite 300
Minnetonka, MN 55345-4157
Phone (952) 932-7277

7700 Equitable Dr
Suite 100
Eden Prairie, MN 55344-3685
Phone (952) 932-7277

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9976MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Relate Inc CurrentSince Jan 1, 2026 Accepting new patients
Bluestone Physician Services, P.a. CurrentSince Feb 5, 2024 Accepting new patients
Northern Lights Psychiatry LLC CurrentSince Mar 27, 2025 Accepting new patients

Locations

7700 Equitable Dr
Ste 100
Eden Prairie, MN 55344

5125 County Road 101
Ste 300
Minnetonka, MN 55345
Phone (763) 241-3400

201 1st St E
Ste 220
Park Rapids, MN 56470
Phone (218) 203-9215

270 Main St N
Ste 300
Stillwater, MN 55082
Phone (651) 342-1039

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1720787237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 1ST ST E STE 220",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701612",
            "telephone_number": "218-203-9215",
            "fax_number": "479-482-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 1ST ST E STE 220",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701612",
            "telephone_number": "218-203-9215",
            "fax_number": "479-482-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Main St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826788",
            "country_code": "US",
            "telephone_number": "651-342-1039",
            "fax_number": "651-342-1428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLLSCHLAGER",
        "first_name": "AMANDA",
        "middle_name": "SUE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Rapids, MN

Sources for this page

Verify at the official NPI Registry.