AMANDA ATHA (NP) – Family Nurse Practitioner, NPI 1114356490
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for AMANDA ATHA (NP)
3400 N CENTER RD STE 100
SAGINAW, MI 486037920
Phone: (989) 792-1494
Fax: (989) 249-9941
Type: Mailing
5120 MIDLAND RD
SAGINAW, MI 486039601
Phone: (989) 401-1463
Fax: (989) 266-5240
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 134 Open Payments records for all available years, with a total value of $2,623.
Total Amount is formed as General ($2,623) + Research ($0) + Ownership ($0) = $2,623.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($340).
Total Amount
$2,623
General + Research + Ownership
Payments
134
Total payment records
General Amount
$2,623
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $340 |
| Janssen Biotech, Inc. | $338 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $334 |
| Amgen Inc. | $250 |
| E.R. Squibb & Sons, L.L.C. | $204 |
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: 2014-02-04
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 |
|---|---|---|---|---|
| I20140204000862 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 77 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 35 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 42 | 42 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 31 | 30 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 31 | 30 | $0 |
Insurance plans in this area (ZIP 48603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Plastic And Reconstructive Surgery, Otolaryngology | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI |
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