AMANDA DEERING – Family Nurse Practitioner, NPI 1164180642

AMANDA DEERING is a healthcare provider. based in Kalkaska, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704271743 (MI). The NPI Number for AMANDA DEERING is 1164180642

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA DEERING
NPI
1164180642
Phone
(231) 258-7777
Address
419 S Coral St
Enumeration Date
2 December 2021
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2312587500
Graduation Year
2021 (5 years ago)
PAC ID
5698167336
Group Practice PAC ID
3577536002
Professional Enrollment ID
I20220110001225
Address ID
MI496462503KA419XXSTXX400
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

8,106 NURSE PRACTITIONER in MI

Provider Addresses for AMANDA DEERING

  • 419 S Coral St

    Kalkaska, MI 496462503

    Phone: (231) 258-7777

    Type: Location

  • 6227 FRANKFORT HWY

    BENZONIA, MI 496168632

    Phone: (231) 882-9661

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: ABBVIE INC. ($102).

Total Amount

$102

General + Research + Ownership

Payments

5

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$102
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: 2022-01-10

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
I20220110001225INurse 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 49646)

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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: 3577536002View full group profile
NameSpecialtyState
Family PracticeMI
G A S T R O E N T E R O L O G YMI
O T O L A R Y N G O L O G YMI
Physician AssistantMI
Family PracticeMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Family PracticeMI
Family PracticeMI

Reviews

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Frequently asked questions

What federal number belongs to AMANDA DEERING?
The federal identifier for AMANDA DEERING is NPI 1164180642.
Does this profile mean AMANDA DEERING is currently active?
Yes — AMANDA DEERING appears active in the national provider directory.
Can you summarize AMANDA DEERING's specialty in plain language?
Clinically, the directory lists AMANDA DEERING with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place AMANDA DEERING?
The snapshot lists Kalkaska, Michigan for AMANDA DEERING; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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