AMY K NIELSEN (D.O.) – Surgery Physician, NPI 1356736995
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 GENERAL SURGERY in MI
Provider Addresses for AMY K NIELSEN (D.O.)
3945 LEONARD ST
MARNE, MI 494359721
Phone: (616) 250-0739
Type: Mailing
4201 SAINT ANTOINE ST
UHC 6C
DETROIT, MI 482012153
Phone: (313) 577-5009
Fax: (313) 577-5310
Type: Location
2525 5TH AVE S
ESCANABA, MI 49829
Phone: (906) 233-4190
Fax: (906) 789-3479
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-09-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200928002153 | I | General Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MI | |
| Emergency Medicine, Pulmonary Disease, Hospice/Palliative Care, Hospitalist, Sleep Medicine, Internal Medicine | GA | |
| Diagnostic Radiology | MI | |
| Internal Medicine | AZ | |
| General Surgery | MI | |
| Certified Registered Nurse Anesthetist (Crna) | CO | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | WI | |
| - | MI |
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