AMANDA THELEN – Nephrology Physician, NPI 1568948537

AMANDA THELEN is a healthcare provider. based in Lansing, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704297098 (MI). The NPI Number for AMANDA THELEN is 1568948537

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA THELEN
NPI
1568948537
Phone
(517) 485-8217
Address
405 W GREENLAWN AVE STE 230
Enumeration Date
12 July 2018
Last Update Date
12 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5174858217430
Graduation Year
2018 (8 years ago)
PAC ID
3072863562
Group Practice PAC ID
6800119637
Professional Enrollment ID
I20180904002120
Address ID
MI489114276LA3960XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for AMANDA THELEN

  • 230, West Greenlawn Avenue, Greencroft Park, Lansing, Ingham County, Michigan, 48910, United States

    LANSING, MI 489100812

    Phone: (517) 485-8217

    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 4 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($77).

Total Amount

$77

General + Research + Ownership

Payments

4

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

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: 2018-09-04

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
I20180904002120INurse 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
99495Transitional care management services for problem of at least moderate complexity3218$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)2013$0
View full utilization report →

Insurance plans in this area (ZIP 48910)

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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: 6800119637View full group profile
NameSpecialtyState
Nephrology, Emergency Medicine, Internal MedicineMI
Nurse PractitionerMI
Nephrology, Internal MedicineMI
Nephrology, Internal MedicineMI
-OR
Nephrology, Internal MedicineMI

Reviews

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Frequently asked questions

What unique ID ties claims to AMANDA THELEN?
NPI 1568948537 is assigned to AMANDA THELEN under the national enumeration system.
Is AMANDA THELEN's NPI currently valid?
The extract we use shows AMANDA THELEN as active.
Can you summarize AMANDA THELEN's specialty in plain language?
Clinically, the directory lists AMANDA THELEN with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Does AMANDA THELEN practice in Michigan?
You will see Lansing, Michigan on file for AMANDA THELEN alongside any extra practice locations.
Is AMANDA THELEN a real provider?
This page reflects official NPPES data for NPI 1568948537. Always confirm identity and privileges with the practice and licensing boards.

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