AMANDA LEIGH DEHN (FNP-BC) – Nurse Practitioner, NPI 1174984413

AMANDA LEIGH DEHN (FNP-BC) is a healthcare provider. based in South bend, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 71014530A (IN). The NPI Number for AMANDA LEIGH DEHN (FNP-BC) is 1174984413

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA LEIGH DEHN (FNP-BC)
NPI
1174984413
Phone
(574) 247-9441
Address
53880 CARMICHAEL DR
Enumeration Date
15 March 2016
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3174551064
Graduation Year
2015 (11 years ago)
PAC ID
3870884810
Group Practice PAC ID
5698667822
Professional Enrollment ID
I20231101003517
Address ID
IN466351567SO53880DRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for AMANDA LEIGH DEHN (FNP-BC)

  • 53880 CARMICHAEL DR

    SOUTH BEND, IN 466351567

    Phone: (574) 247-9441

    Type: Location

  • 60160 Bodnar Blvd

    Mishawaka, IN 465449338

    Phone: (574) 247-9441

    Type: Location

  • 303 S Nappanee St Ste F

    Elkhart, IN 465142066

    Phone: (574) 247-9441

    Type: Location

  • 2349 Lake Ave Ste 201

    Plymouth, IN 465637837

    Phone: (574) 247-9441

    Type: Location

  • 3600 W BETHEL AVE

    MUNCIE, IN 473045407

    Phone:

    Type: Mailing

  • 2002 S 11TH ST

    NILES, MI 491204074

    Phone: (269) 687-0200

    Fax: (269) 684-0199

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $3,304.

Total Amount is formed as General ($3,304) + Research ($0) + Ownership ($0) = $3,304.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($850).

Total Amount

$3,304

General + Research + Ownership

Payments

61

Total payment records

General Amount

$3,304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160621002871INurse PractitionerMITBD
I20231101003517INurse PractitionerINTBD

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.

Verify on CMS Revalidation Lookup Tool

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 46635)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698667822View full group profile
NameSpecialtyState
Orthopedic SurgeryIN
Orthopedic SurgeryIN
Orthopedic SurgeryIN
Physician AssistantIN
Physical Therapist In Private PracticeIN
Physician AssistantIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Nurse PractitionerIN
Occupational Therapist In Private PracticeIN

Reviews

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Frequently asked questions

What NPI should I save for AMANDA LEIGH DEHN (FNP-BC)?
Save NPI 1174984413 if you need a stable reference for AMANDA LEIGH DEHN (FNP-BC).
Is AMANDA LEIGH DEHN (FNP-BC)'s NPI currently valid?
The extract we use shows AMANDA LEIGH DEHN (FNP-BC) as active.
Can you summarize AMANDA LEIGH DEHN (FNP-BC)'s specialty in plain language?
Clinically, the directory lists AMANDA LEIGH DEHN (FNP-BC) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does AMANDA LEIGH DEHN (FNP-BC) practice in Indiana?
You will see South Bend, Indiana on file for AMANDA LEIGH DEHN (FNP-BC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.