Amanda Collins, DNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Wayzata, MN
NPI 1730626524 · NPPES record last updated May 17, 2025
Key facts
- NPI
- 1730626524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 8958 (MN)
- Practice address
- 1120 Wayzata Blvd E Ste 210
Wayzata, MN 55391-1915 - Phone
- (320) 253-3512
- NPI assigned
- Jan 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lorenz Clinic LLC
Practice addresses (Care Compare)
1120 Wayzata Blvd E
Suite 210
Wayzata, MN 55391-1915
Phone (952) 443-4600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220318001907 | MN | Practitioner - Nurse Practitioner | 4183019656 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-16408 | AZ | MD | Professional Counselor |
| 8958 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Selah Wellness Clinic LLC | Multi-Specialty | Current |
Accepting new patients |
| Selah Wellness Clinic LLC | Multi-Specialty | Current |
Accepting new patients |
| Gray Duck Mental Health | Psychiatric/Mental Health | Current | Accepting new patients |
| Lorenz Clinic, LLC | Multi-Specialty | Current |
Accepting new patients |
| Family Support Services Inc. | Multi-Specialty | Past |
Accepting new patients |
Locations
15265 Carrousel Way
Ste 100
Rosemount, MN 55068
Phone (951) 443-4600
1772 Stieger Lake Ln
Ste 220
Victoria, MN 55386
Phone (763) 443-4600
1120 Wayzata Blvd E
Ste 210
Wayzata, MN 55391
Phone (218) 929-0732
Interoperability endpoints
- https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4
- amanda.collins.1@16506.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-16408 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 8958 | MN | Yes |
Addresses
Primary practice location
1120 Wayzata Blvd E Ste 210
Wayzata, MN 55391-1915
Mailing address
PO Box 17370 Lot 4400
St. Paul, MN 55117
Other providers in Wayzata, MN
- Chiropractic Concepts LLC
- Christa Suerken, Psy.D., PLC
- Clear Step Neuropsychology
- Chloe Cleppe
- Tasia Cloutier
- Common Sense Health & Wellness
- Community Counseling Clinic
- Community of Recovering People
- Confident Kids and Couples Counseling
- Contrast Mental Health
All providers in Wayzata, MN · Psychiatric/Mental Health Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.