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

Vanessa Dede Amanor

Individual provider Physician Assistant · NPI 1568130789

Vanessa Dede Amanor is a Physician Assistant in Coon Rapids, Minnesota. Qualified in 2023, 3 years ago. Practices with Minnesota Urology, PA, a 82-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3960 Coon Rapids Blvd NW Ste 301
Coon Rapids, MN 55433-2598
Phone: (651) 999-6800
Fax: (833) 905-2114
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 3001 Metro Drive, Bloomington, MN 55425 — (651) 999-7022

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1568130789
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 1, 2021
Last updated in NPPESOctober 9, 2024
Certification dateOctober 4, 2024
Mailing address4053 Nevada Ave N, New Hope, MN 55427-1339

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Minnesota Urology, Pa — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Coon Rapids