MRS. AMANDA M BUSTLE CPNP
NPI 1114464765
Nurse Practitioner - Pediatrics in Portage, MI
About Mrs. Amanda M Bustle Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMANDA M BUSTLE CPNP (NPI 1114464765) is an individual pediatrics provider in Portage, Michigan, licensed in Michigan (4704419600) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Amanda M Bustle Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTAGE, MI 49024
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 Bustle's NPI number?
The NPI number for Amanda Bustle is 1114464765. It was assigned to this individual provider in the NPPES registry on January 20, 2017.
Where is Amanda Bustle located?
Amanda Bustle practices at 2680 W Centre Ave, Portage, MI 49024. The listed phone number is (269) 324-2400.
What is Amanda Bustle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Amanda Bustle enrolled in Medicare?
Yes. Amanda Bustle is registered in the Medicare PECOS enrollment system.
What insurance does Amanda Bustle accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health Maintenance Organization of Florida and Priority Health list Amanda Bustle 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 Bustle was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Mrs. Amanda M Bustle, CPNP · NPI 1114464765
Pediatrics physician in Portage, Michigan. Individual provider, active in the CMS NPPES registry since January 20, 2017.
## Identity
- **NPI:** 1114464765 (Entity type: Individual)
- **Enumerated:** January 20, 2017
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 4704419600 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2680 W CENTRE AVE, Portage, MI 49024-4828
- **Phone:** (269) 324-2400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1114464765) · Data from the CMS NPPES public registry.