Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Vancene Peterson, AGACNP

Individual provider Critical Care Medicine Registered Nurse · NPI 1255077202

Amanda Vancene Peterson, AGACNP is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2022, 4 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

225 Smith Ave N Ste 501
Saint Paul, MN 55102-2545
Phone: (651) 726-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 9286 (MN)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 1750728 (MN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 00000 (MN)

Record details

NPI number1255077202
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedMay 11, 2022
Last updated in NPPESJanuary 16, 2023
Certification dateJanuary 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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