MRS. AMY SUE VANDENBERG (FNP) – Family Nurse Practitioner, NPI 1477204394

MRS. AMY SUE VANDENBERG (FNP) is a healthcare provider. based in Wayland, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 4704212043 (MI). The NPI Number for MRS. AMY SUE VANDENBERG (FNP) is 1477204394

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMY SUE VANDENBERG (FNP)
NPI
1477204394
Phone
(616) 893-8403
Address
12409 BAYVIEW DR
Enumeration Date
12 January 2022
Last Update Date
12 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693496759
Graduation Year
2021 (5 years ago)
PAC ID
3476896903
Group Practice PAC ID
1658283007
Professional Enrollment ID
I20220314000256
Address ID
MI490073889KA521XXAVEX402
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 MRS. AMY SUE VANDENBERG (FNP)

  • 12409 BAYVIEW DR

    WAYLAND, MI 493488826

    Phone: (616) 893-8403

    Type: Mailing

  • 521 E MICHIGAN AVE STE 102

    KALAMAZOO, MI 490073889

    Phone: (269) 349-6759

    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 $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

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: 2022-03-14

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
I20220314000256INurse 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 minutes4833$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3926$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
81002Urinalysis, manual test1515$0
99495Transitional care management services for problem of at least moderate complexity1413$0
View full utilization report →

Insurance plans in this area (ZIP 49348)

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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: 1658283007View full group profile
NameSpecialtyState
Otolaryngology, Plastic And Reconstructive SurgeryMI
-MI
Gastroenterology, Internal MedicineMI
Nephrology, Internal MedicineMI
Nephrology, Internal MedicineMI
Physician AssistantMI
D E R M A T O L O G YMI
O T O L A R Y N G O L O G YMI
Nephrology, Internal MedicineMI
-MI

Reviews

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Frequently asked questions

What federal number belongs to MRS. AMY SUE VANDENBERG (FNP)?
The federal identifier for MRS. AMY SUE VANDENBERG (FNP) is NPI 1477204394.
Is MRS. AMY SUE VANDENBERG (FNP) active in the national directory?
MRS. AMY SUE VANDENBERG (FNP)'s public NPI profile is in an active state.
Does MRS. AMY SUE VANDENBERG (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MRS. AMY SUE VANDENBERG (FNP). Clinical services aligned with this taxonomy classification.
Does MRS. AMY SUE VANDENBERG (FNP) practice in Michigan?
You will see Wayland, Michigan on file for MRS. AMY SUE VANDENBERG (FNP) alongside any extra practice locations.
Is MRS. AMY SUE VANDENBERG (FNP) a real provider?
This page reflects official NPPES data for NPI 1477204394. Always confirm identity and privileges with the practice and licensing boards.

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