MRS. AMANDA MAE BACHMAN (AG-ACNP) – Acute Care Nurse Practitioner, NPI 1104589373

MRS. AMANDA MAE BACHMAN (AG-ACNP) is a healthcare provider. based in Grand blanc, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AG-ACNP. They hold a License No. 4704228627 (MI). The NPI Number for MRS. AMANDA MAE BACHMAN (AG-ACNP) is 1104589373

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA MAE BACHMAN (AG-ACNP)
NPI
1104589373
Phone
(248) 849-2600
Address
1 Genesys Pkwy Ste 3452
Enumeration Date
14 October 2021
Last Update Date
12 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106067550
Graduation Year
2021 (5 years ago)
PAC ID
6709278237
Group Practice PAC ID
3476456492
Professional Enrollment ID
I20220113001270
Address ID
MI484398395GR3399XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MRS. AMANDA MAE BACHMAN (AG-ACNP)

  • 1 Genesys Pkwy Ste 3452

    Grand Blanc, MI 484398065

    Phone: (248) 849-2600

    Fax: (248) 849-2610

    Type: Location

  • 16001 W 9 MILE RD # 3

    SOUTHFIELD, MI 480754818

    Phone: (248) 849-2600

    Fax: (248) 849-2610

    Type: Mailing

  • 7563 PARADISE DR

    GRAND BLANC, MI 484398598

    Phone: (810) 422-3333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $929.

Total Amount is formed as General ($929) + Research ($0) + Ownership ($0) = $929.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Getinge USA Sales, LLC ($575).

Total Amount

$929

General + Research + Ownership

Payments

9

Total payment records

General Amount

$929

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-01-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220113001270INurse PractitionerMITBD

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 48439)

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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: 3476456492View full group profile
NameSpecialtyState
-MI
Orthopedic SurgeryMI
Obstetrics/Gynecology, General SurgeryMI
General SurgeryMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MN
Interventional CardiologyMI
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. AMANDA MAE BACHMAN (AG-ACNP)?
NPI 1104589373 is assigned to MRS. AMANDA MAE BACHMAN (AG-ACNP) under the national enumeration system.
Is MRS. AMANDA MAE BACHMAN (AG-ACNP) currently active in the NPI registry?
CMS-published data lists MRS. AMANDA MAE BACHMAN (AG-ACNP) as an active registrant.
Does MRS. AMANDA MAE BACHMAN (AG-ACNP) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for MRS. AMANDA MAE BACHMAN (AG-ACNP). Clinical services aligned with this taxonomy classification.
Does MRS. AMANDA MAE BACHMAN (AG-ACNP) practice in Michigan?
You will see Grand Blanc, Michigan on file for MRS. AMANDA MAE BACHMAN (AG-ACNP) alongside any extra practice locations.
What if Grand Blanc, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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