Amanda Paradis
Individual provider Active NPI Nurse Practitioner · Dawson, MN
NPI 1851800510 · NPPES record last updated Aug 1, 2023
Key facts
- NPI
- 1851800510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5427 (MN)
- Practice address
- 1282 Walnut St
Dawson, MN 56232-2333 - Phone
- (320) 769-4323
- NPI assigned
- Sep 26, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Johnson Memorial Health Services
Practice addresses (Care Compare)
1282 Walnut St
Dawson, MN 56232-2333
Phone (320) 769-4323
Hospital & facility affiliations
- Johnson Memorial Hospital
- Chippewa County Hospital
- Madison Hospital
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 |
|---|---|---|---|---|
| I20171025002813 | MN | Practitioner - Nurse Practitioner | 5092081638 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5427 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Memorial Health Services | Current |
Accepting new patients | |
| Johnson Memorial Health Services | Current | Accepting new patients | |
| Johnson Memorial Health Services | Current | Accepting new patients | |
| Johnson Memorial Health Services | Current |
Accepting new patients |
Locations
1282 Walnut St
Dawson, MN 56232
Phone (320) 769-4323
Interoperability endpoints
- amanda.paradis@avera.sdhealthlink.net
- aparadis645351@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5427 | MN | Yes |
Addresses
Primary practice location
1282 Walnut St
Dawson, MN 56232-2333
Mailing address
1282 Walnut St
Dawson, MN 56232-2333
Phone (320) 769-4323
Other providers in Dawson, MN
- Anna Christance Lewis
- Jessica Marie Mamer
- Stephen John Morris
- Nelson Rexall Drug Co
- Julie A Olson
- Erik J Shelstad
- Sonshine Home Health Care LLC
- Justine Swenson
- Ayaz Virji
- Wager Chiropractic P.L.L.C.
All providers in Dawson, MN · 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 1, 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).
- 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.