Amy Lynn Winter, CFNP
Individual provider Active NPI Family Nurse Practitioner · Jackson, MN
NPI 1790750875 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1790750875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3444 (MN)
- Practice address
- 1430 North Hwy
Jackson, MN 56143-1093 - Phone
- (507) 847-2200
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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 |
|---|---|---|---|---|
| I20060104000269 | MN | Practitioner - Nurse Practitioner | 0547283640 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1463950 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Nurse Practitioner | Current | Accepting 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 | Past | Accepting new patients |
Locations
1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R1463950 | MN | |
| Family Nurse Practitioner | 363LF0000X | 3444 | MN | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602K4FI | Other | MN | BXBS |
| 692028400 | Medicaid | MN |
Other providers in Jackson, MN
- The Evangelical Lutheran Good Samaritan Society
- Throndset Drug Company
- Stacey Lynn Tweedt
- Walgreen Co
- Matthew Douglas Wasmund
- Julie Marie Woodall-Smith
All providers in Jackson, MN · Family 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 Aug 2, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.