MRS. AMANDA JEVAHIRIAN (NP) – Family Nurse Practitioner, NPI 1063185072
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for MRS. AMANDA JEVAHIRIAN (NP)
2700 Hamlin Blvd
Inkster, MI 481412206
Phone: (313) 383-1897
Fax: (313) 383-6018
Type: Location
26650 Eureka Rd Ste C
Taylor, MI 481804835
Phone: (734) 941-4991
Fax: (734) 941-4919
Type: Location
4700 Schaefer Rd Ste 255
Dearborn, MI 481263655
Phone: (313) 561-5100
Fax: (313) 565-0309
Type: Location
23140 BRENTWOOD DR
BROWNSTOWN, MI 481833290
Phone: (734) 552-4346
Type: Mailing
4700 SCHAEFER RD STE 340
DEARBORN, MI 481263743
Phone: (313) 561-5100
Fax: (313) 565-0309
Type: Mailing
25650 OUTER DR
LINCOLN PARK, MI 481462096
Phone: (313) 383-1897
Fax: (313) 383-6018
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $190.
Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Exact Sciences Corporation ($73).
Total Amount
$190
General + Research + Ownership
Payments
11
Total payment records
General Amount
$190
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $73 |
| Gilead Sciences, Inc. | $47 |
| Amgen Inc. | $28 |
| Lilly USA, LLC | $28 |
| GlaxoSmithKline, LLC. | $15 |
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: 2021-09-23
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 |
|---|---|---|---|---|
| I20210923000966 | 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 48141)
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