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

Mr. Mickey Amos, CNP

Individual provider Gerontology Nurse Practitioner · NPI 1942929658

Mr. Mickey Amos, CNP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Practices with Fairview Health Services, a 678-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

720 Washington Ave SE Ste 300
Minneapolis, MN 55414-2904
Phone: (612) 884-0649
Fax: (612) 676-8992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 9438 (MN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 9438 (MN)

Record details

NPI number1942929658
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 25, 2022
Last updated in NPPESJanuary 3, 2024
Certification dateSeptember 13, 2022
Mailing address720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904

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 Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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