AMANDA B YOUNG (PA-C) – Physician Assistant, NPI 1982133625

AMANDA B YOUNG (PA-C) is a healthcare provider. based in Southfield, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601008218 (MI). The NPI Number for AMANDA B YOUNG (PA-C) is 1982133625

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA B YOUNG (PA-C)
NPI
1982133625
Phone
(947) 522-1862
Address
26901 BEAUMONT BLVD STE 3D
Enumeration Date
7 June 2017
Last Update Date
30 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482282990
Graduation Year
2017 (9 years ago)
PAC ID
8325316250
Group Practice PAC ID
7719256973
Professional Enrollment ID
I20170619001920
Address ID
MI480341065SO29355HWYX305

Contacts

Secure Messaging
ayoung458166@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness95
Years active:9State licenses:1Other names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for AMANDA B YOUNG (PA-C)

  • Beaumont Boulevard, Southfield, Oakland County, Michigan, 48034, United States

    SOUTHFIELD, MI 480333849

    Phone: (947) 522-1862

    Fax: (947) 522-0307

    Type: Mailing

  • William Beaumont Hospital (Troy campus), 44201, Dequindre Road, Troy, Macomb County, Michigan, 48085, United States

    TROY, MI 480851117

    Phone: (248) 964-5000

    Fax: (248) 964-4848

    Type: Location

  • 44199 Dequindre Rd Ste 315

    Troy, MI 480851128

    Phone: (248) 964-3600

    Fax: (248) 964-1188

    Type: Location

  • PO BOX 947977

    ATLANTA, GA 303947977

    Phone: (561) 223-8081

    Type: Mailing

  • 29355 NORTHWESTERN HWY STE 302B

    SOUTHFIELD, MI 480341053

    Phone: (248) 228-2990

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 178 Open Payments records for all available years, with a total value of $3,775.

Total Amount is formed as General ($3,775) + Research ($0) + Ownership ($0) = $3,775.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($584).

Total Amount

$3,775

General + Research + Ownership

Payments

178

Total payment records

General Amount

$3,775

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2017-06-19

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
I20170619001920IPhysician 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.

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

Insurance plans in this area (ZIP 48033)

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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: 7719256973View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI
Physician AssistantMI
-MI
-MI
D E R M A T O L O G YMI

Reviews

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Frequently asked questions

How do payers reference AMANDA B YOUNG (PA-C)?
For AMANDA B YOUNG (PA-C), use NPI 1982133625 as the unique 10-digit identifier.
Is AMANDA B YOUNG (PA-C) shown as active in public data?
Registry records indicate AMANDA B YOUNG (PA-C) maintains an active NPI.
How would a patient describe AMANDA B YOUNG (PA-C)'s focus?
For AMANDA B YOUNG (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMANDA B YOUNG (PA-C)?
Travel planning: use Southfield, Michigan as the reference point for AMANDA B YOUNG (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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