MRS. AMY KRISTIN DZIURMAN (NP) – Nurse Practitioner, NPI 1831112085
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for MRS. AMY KRISTIN DZIURMAN (NP)
McClintock Drive, Burr Ridge, Lyons Township, Cook County, Illinois, 60521, United States
BURR RIDGE, IL 605270872
Phone: (888) 220-6432
Type: Mailing
15474 N Haggerty Rd
Plymouth, MI 481704893
Phone: (734) 335-6103
Fax: (734) 404-5317
Type: Location
4201 Saint Antoine St
4F
Detroit, MI 482012153
Phone: (313) 745-4380
Type: Location
50505 SCHOENHERR RD STE 270
SHELBY TOWNSHIP, MI 483153141
Phone: (586) 323-6085
Fax: (586) 500-8865
Type: Mailing
North Haggerty Road, Plymouth, Wayne County, Michigan, 48170, United States
PLYMOUTH, MI 481704893
Phone: (734) 335-6103
Fax: (734) 404-5317
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-03-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160309001508 | I | Nurse Practitioner | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60527)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Family Practice, Hospitalist | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI |
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