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AMANDA K NIXON PA-C PC
NPI 1083134886
Physician Assistant in Tustin, MI

Active since June 22, 2017CLIA 23D2132976 · Waiver
202 S HOWARD ST, TUSTIN, MI 49688(231) 465-4165(231) 465-4315 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2019, Jun 22, 2017 (2 updates tracked since 2017).

About Amanda K Nixon Pa-c Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA K NIXON PA-C PC (NPI 1083134886) is a healthcare organization registered as a physician assistant in Tustin, Michigan and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Amanda Nixon, Owner, as its authorized official.

NPPES Registry Identity

NPI1083134886
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameAMANDA K NIXON PA-C PC
Location Address202 S HOWARD STTustin, MI 49688-5123
Mailing AddressPo Box 74Tustin, MI 49688-0074 · (231) 465-4165 · Fax (231) 465-4315
Phone(231) 465-4165
Fax(231) 465-4315
Organization SubpartNo
Authorized OfficialAmanda NixonOwner · (231) 920-1875
Enumeration DateJune 22, 2017
Last NPPES UpdateAugust 6, 20192 updates tracked since enumeration
✔ NPI 1083134886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
202 S HOWARD ST, Tustin, MI 49688
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2132976

Amanda K Nixon Pa-C, P C · Tustin, MI
Active · expires Jul 2, 2027
CLIA Number23D2132976
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorAmanda K. Nixon
Laboratory Phone(231) 465-4165
Laboratory LocationAmanda K Nixon Pa-C, P C202 S Howard St P O Box 74, Tustin, MI 49688
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA NIXON
Physician Assistant (Medical)
202 S HOWARD ST
TUSTIN, MI 49688
Osceola County (231) 465-4165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda K Nixon Pa-C PC's NPI number?

The NPI number for Amanda K Nixon Pa-C PC is 1083134886. It was assigned to this organization in the NPPES registry on June 22, 2017.

Where is Amanda K Nixon Pa-C PC located?

Amanda K Nixon Pa-C PC is located at 202 S Howard St, Tustin, MI 49688. The listed phone number is (231) 465-4165.

What is Amanda K Nixon Pa-C PC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Amanda K Nixon Pa-C PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2132976) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Amanda K Nixon Pa-C PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Amanda K Nixon Pa-C PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda K Nixon Pa-C PC was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.