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

Amy Lynn Antonich, APNP

Individual provider Family Nurse Practitioner · NPI 1922519339

Amy Lynn Antonich, APNP is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2017, 9 years ago. Practices with Premier OBGYN of Minnesota PLLC, a 89-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Wisconsin.

Years since qualifying
9
Licensed in
AZ, WI
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

17 Exchange St W Ste 622
Saint Paul, MN 55102-1225
Phone: (651) 297-9141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6452 E Carondelet Dr Ste 100, Tucson, AZ 85710-2262 — (715) 961-0232
  • 403 Stageline Rd, Hudson, WI 54016-7848 — (715) 531-6800

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8031-33 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 338007 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 8031-33 (WI)

Record details

NPI number1922519339
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedOctober 12, 2017
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Premier Obgyn Of Minnesota Pllc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Paul