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

Amy Pedersen

Individual provider Family Nurse Practitioner · NPI 1407466436

Amy Pedersen is a Nurse Practitioner in Eden Prairie, Minnesota. Qualified in 2020, 6 years ago. Practices with New Kingdom Pediatrics LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
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Practice location Address checks out

6452 City West Pkwy
Eden Prairie, MN 55344-3245
Phone: (952) 999-0333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7578 (MN)

Record details

NPI number1407466436
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2020
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address2425 Cavell Ave S, Saint Louis Park, MN 55426-2317

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice New Kingdom Pediatrics Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eden Prairie