Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922928985 Individual Practitioner Female Practitioner

Mandy Fredrickson

Licensed Practical Nurse • Champlin, MN

Professional Overview & Biography Verified Profile Summary

Mandy Fredrickson is a registered healthcare professional specializing in Licensed Practical Nurse in Champlin, MN. Practice services are available at 1207 HILLSBORO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1207 Hillsboro Ave

Champlin, MN 553161913

Telephone 6127473014

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Champlin, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Champlin, MN (881 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-20
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MN 651080

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 20, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2026

Registered at 1207 HILLSBORO AVE, CHAMPLIN, MN 553161913 (Tel: 6127473014)

📍
Updated Business Mailing Address July 20, 2026

Registered at 1207 HILLSBORO AVE, CHAMPLIN, MN 553161913 (Tel: 6127473014)

👤
Provider Name / Credentials Updated July 20, 2026

Recorded as MANDY FREDRICKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2026

Licensed Practical Nurse (License #651080 in MN)

🟢
Initial NPI Registration & Enumeration July 20, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922928985
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2026
Last Update: July 20, 2026
Sole Proprietor: No

Mailing Address

1207 Hillsboro Ave

Champlin, MN 553161913

Phone: 6127473014

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.