Active NPI
Amy Lynn Winter, CFNP
- Family Nurse Practitioner
- Jackson, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3444
- Practice address
- 1430 North Hwy
Jackson, MN 56143-1093 - Phone
- (507) 847-2200
- NPI assigned
- Feb 22, 2006
- Last updated
- Aug 2, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R1463950 | MN | |
| Family Nurse Practitioner | 363LF0000X | 3444 | MN | Primary |
Addresses
Primary practice location
1430 North Hwy
Jackson, MN 56143-1093
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
1950 Center Creek Dr
Suite 100
Fairmont, MN 56031-3428
Phone (507) 238-4968
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602K4FI | Other | MN | BXBS |
| 692028400 | Medicaid | MN |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1463950 | MN | MD | Nurse Practitioner |
| 3444 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Nurse Practitioner | Current | Accepting new patients |
Locations
1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200
Organizations & group practices 5
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.
-
dba Sanford Jackson Medical Center
- Critical Access Hospital
- Jackson, MN
- NPI 1326069097
-
dba Sanford Clinic Tracy
- Family Medicine Physician
- Tracy, MN
- NPI 1699869875
Nurse Practitioner
-
dba Edith Sanford Breast Specialty Clinic
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1093090342
MN
-
dba Sanford Clinic Jackson
- Rural Health Clinic/Center
- Jackson, MN
- NPI 1083638357
-
dba Sanford Clinic Mountain Lake
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1790750875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 NORTH HWY",
"city": "JACKSON",
"state": "MN",
"postal_code": "561431093",
"telephone_number": "507-847-2200"
}
],
"practiceLocations": [
{
"address_1": "1950 Center Creek Dr",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Fairmont",
"state": "MN",
"postal_code": "560313428",
"country_code": "US",
"telephone_number": "507-238-4968",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINTER",
"first_name": "AMY",
"middle_name": "LYNN",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R1463950",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "3444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXBS",
"identifier": "602K4FI",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "692028400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.