DANIEL ST AMOUR (NP-C) – Adult Health Nurse Practitioner, NPI 1164933354

DANIEL ST AMOUR (NP-C) is a healthcare provider. based in Woodhaven, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 4704270061 (MI). The NPI Number for DANIEL ST AMOUR (NP-C) is 1164933354

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL ST AMOUR (NP-C)
NPI
1164933354
Phone
(734) 752-4353
Address
22601 ALLEN RD STE 400
Enumeration Date
16 October 2017
Last Update Date
16 October 2017

Doctor Profile

Medical School Name
OAKLAND COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
5865586868
Graduation Year
2008 (18 years ago)
PAC ID
0345376083
Group Practice PAC ID
2062646979
Professional Enrollment ID
I20180402001801
Address ID
MI480934588WA11662RDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for DANIEL ST AMOUR (NP-C)

  • Allen Road, Woodhaven, Wayne County, Michigan, 48183, United States

    WOODHAVEN, MI 481832273

    Phone: (734) 752-4353

    Fax: (734) 671-9000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $1,280.

Total Amount is formed as General ($1,280) + Research ($0) + Ownership ($0) = $1,280.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($1,022).

Total Amount

$1,280

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,280

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2018-04-02

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
I20180402001801INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour79748$0
99214Established patient office or other outpatient visit, 30-39 minutes16215$0
90791Psychiatric diagnostic evaluation1313$0
View full utilization report →

Insurance plans in this area (ZIP 48183)

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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: 2062646979View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI
-MI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
-MI

Reviews

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Frequently asked questions

Does DANIEL ST AMOUR (NP-C) have a public NPI I can cite?
Public records show DANIEL ST AMOUR (NP-C) under NPI 1164933354.
Should I treat DANIEL ST AMOUR (NP-C) as an active provider?
Patients and plans typically see DANIEL ST AMOUR (NP-C) as active in the national extract.
What type of care does DANIEL ST AMOUR (NP-C) provide?
DANIEL ST AMOUR (NP-C)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to DANIEL ST AMOUR (NP-C)?
DANIEL ST AMOUR (NP-C) shows a connection to Woodhaven, Michigan in registry-derived data.
Can I export DANIEL ST AMOUR (NP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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