MIRIAM AMEN (NP) – Emergency Medicine Physician, NPI 1275143273

MIRIAM AMEN (NP) is a healthcare provider. based in Dearborn heights, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704322561 (MI). The NPI Number for MIRIAM AMEN (NP) is 1275143273

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAM AMEN (NP)
NPI
1275143273
Phone
Not provided
Address
25714 WILSON DR
Enumeration Date
4 August 2020
Last Update Date
14 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3139143666
Graduation Year
2020 (6 years ago)
PAC ID
7315351558
Group Practice PAC ID
7416346606
Professional Enrollment ID
I20210128002011
Address ID
MI481272102DE25350STXX402
Telehealth
Yes

Contacts

Main Contact
Sorian
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MIRIAM AMEN (NP)

  • 25714 WILSON DR

    DEARBORN HEIGHTS, MI 481273428

    Phone:

    Type: Mailing

  • 6245 INKSTER RD

    GARDEN CITY, MI 481354001

    Phone: (734) 458-3426

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Exact Sciences Corporation ($54).

Total Amount

$129

General + Research + Ownership

Payments

7

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-01-28

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
I20210128002011INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes1817$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1616$0
View full utilization report →

Insurance plans in this area (ZIP 48127)

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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: 7416346606View full group profile
NameSpecialtyState
Family PracticeMI
Physician AssistantMI
Nurse PractitionerMI
Family PracticeMI

Reviews

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Frequently asked questions

Does MIRIAM AMEN (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MIRIAM AMEN (NP) uses 1275143273.
Does CMS list MIRIAM AMEN (NP) as active?
Yes — MIRIAM AMEN (NP) is active in the NPI listing used on this page.
What is MIRIAM AMEN (NP)'s primary classification?
Emergency Medicine Physician is the headline specialty for MIRIAM AMEN (NP) here. Clinical services aligned with this taxonomy classification.
Where is MIRIAM AMEN (NP) based?
MIRIAM AMEN (NP) is tied to Dearborn Heights, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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