AMY VAN DUSEN (PA-C) – Medical Physician Assistant, NPI 1942520119
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for AMY VAN DUSEN (PA-C)
18580 FORT ST
RIVERVIEW, MI 481937442
Phone: (734) 479-8800
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 91 Open Payments records for all available years, with a total value of $1,628.
Total Amount is formed as General ($1,628) + Research ($0) + Ownership ($0) = $1,628.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($441).
Total Amount
$1,628
General + Research + Ownership
Payments
91
Total payment records
General Amount
$1,628
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $441 |
| Collegium Pharmaceutical, Inc. | $328 |
| Nevro Corp. | $175 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $169 |
| Medtronic, Inc. | $101 |
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: 2017-12-05
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 |
|---|---|---|---|---|
| I20171205001358 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 48193)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Nurse Practitioner | MI | |
| Certified Registered Nurse Anesthetist (Crna) | IL |
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