Amanda Mindela, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23868 Issued in MN

Practice address

2121 Campus Dr SE
Rochester, MN 55904-4744

Phone

(507) 322-3019

NPI assigned

Jan 18, 2022

Last updated

May 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Shilts Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scc-admin@serccnexus.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nexus Family Healing

  dba SERCC-Nexus

  • Neurology Physician
  • Rochester, MN
  • NPI 1851905251
  Medicare reassignment NPD

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1760134092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 CAMPUS DR SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044744",
            "telephone_number": "507-322-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CAMPUS DR SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044744",
            "telephone_number": "507-322-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDELA",
        "first_name": "AMANDA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scc-admin@serccnexus.org",
            "affiliation": "N",
            "endpointDescription": "Admin Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2121 Campus Dr SE",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559044744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SHILTS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly Mills
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• Merry E Milverstedt, CRNA
• Syeda A. Mina, MD
• Minneapolis Vamc
• Minnesota Adult Day Center, LLC
• Minnesota Dental Professionals, P.C. (Badger Hills Dental Care)
• Minnesota Immigrant Services
• Minnesota Lakes Dental, PLLC

• Clinical Social Worker in Rochester, MN
• Providers in Rochester, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.

Verify at the official NPI Registry.