MS. AMY J BUKALA (PMHNP-BC, FNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1710492491

MS. AMY J BUKALA (PMHNP-BC, FNP-BC) is a healthcare provider. based in Byron center, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC, FNP-BC. They hold a License No. 4704270255 (MI). The NPI Number for MS. AMY J BUKALA (PMHNP-BC, FNP-BC) is 1710492491

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMY J BUKALA (PMHNP-BC, FNP-BC)
NPI
1710492491
Phone
(616) 805-3660
Address
325 84TH ST SW STE 103
Enumeration Date
4 December 2017
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168053660
Graduation Year
2017 (9 years ago)
PAC ID
9133487242
Group Practice PAC ID
9234469255
Professional Enrollment ID
I20171219001942
Address ID
MI493411287RO65XXXSTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MS. AMY J BUKALA (PMHNP-BC, FNP-BC)

  • 325 84TH ST SW STE 103

    BYRON CENTER, MI 493159350

    Phone: (616) 805-3660

    Type: Mailing

  • 3549, Van Buren Street, Hudsonville, Blendon Township, Ottawa County, Michigan, 49426, United States

    HUDSONVILLE, MI 494261017

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $163.

Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($47).

Total Amount

$163

General + Research + Ownership

Payments

10

Total payment records

General Amount

$163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

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: 2017-12-19

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
I20171219001942INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49315)

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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: 9234469255View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is MS. AMY J BUKALA (PMHNP-BC, FNP-BC)'s NPI number?
MS. AMY J BUKALA (PMHNP-BC, FNP-BC)'s NPI is 1710492491 — the number used across U.S. healthcare to identify this provider.
Is MS. AMY J BUKALA (PMHNP-BC, FNP-BC) shown as active in public data?
Registry records indicate MS. AMY J BUKALA (PMHNP-BC, FNP-BC) maintains an active NPI.
How would a patient describe MS. AMY J BUKALA (PMHNP-BC, FNP-BC)'s focus?
For MS. AMY J BUKALA (PMHNP-BC, FNP-BC), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. AMY J BUKALA (PMHNP-BC, FNP-BC)?
Directory geography for MS. AMY J BUKALA (PMHNP-BC, FNP-BC) centers on Byron Center, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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