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

MS. Tammy Lynn Prohofsky, APRN, CNP

Individual provider Nurse Practitioner · NPI 1720689920

MS. Tammy Lynn Prohofsky, APRN, CNP is a Nurse Practitioner in Eden Prairie, Minnesota. Qualified in 2020, 6 years ago. Practices with Northern Lights Health LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

11000 Optum Cir
Eden Prairie, MN 55344-2503
Phone: (866) 686-2504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7897 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence R147035-4 (MN)

Record details

NPI number1720689920
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , CNP
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

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 Northern Lights Health Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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