AMANDA MISHLER (PA-C) – Physician Assistant, NPI 1467499111

AMANDA MISHLER (PA-C) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601004572 (MI). The NPI Number for AMANDA MISHLER (PA-C) is 1467499111

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MISHLER (PA-C)
NPI
1467499111
Phone
Not provided
Address
4100 LAKE DR SE
Enumeration Date
1 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
4385651108
Group Practice PAC ID
0446157291
Professional Enrollment ID
I20060320000156
Address ID
MI494647901ZE8300XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for AMANDA MISHLER (PA-C)

  • Lake Drive Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49546, United States

    S-300

    GRAND RAPIDS, MI 495468292

    Phone:

    Type: Mailing

  • 2556, Van Ommen Drive, Holland Charter Township, Ottawa County, Michigan, 49424, United States

    HOLLAND, MI 494248208

    Phone: (616) 399-5500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

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: 2006-03-20

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
I20060320000156IPhysician AssistantMITBD

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 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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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: 0446157291View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to AMANDA MISHLER (PA-C)?
NPI 1467499111 is assigned to AMANDA MISHLER (PA-C) under the national enumeration system.
Does this profile mean AMANDA MISHLER (PA-C) is currently active?
Yes — AMANDA MISHLER (PA-C) appears active in the national provider directory.
What field does AMANDA MISHLER (PA-C) work in?
You can think of AMANDA MISHLER (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for AMANDA MISHLER (PA-C)?
The page summarizes Grand Rapids, Michigan for AMANDA MISHLER (PA-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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