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AMY L DZIKOWICZ NP
NPI 1316385768
Nurse Practitioner in Grand Rapids, MI

Active since June 07, 2013PECOS Enrolled
425 CHERRY ST SE, GRAND RAPIDS, MI 49503(616) 774-7005(616) 774-0516 Get Directions Write a Review

NPPES record last updated: January 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2022, Jun 29, 2021 (2 updates tracked since 2021).

About Amy L Dzikowicz Np NPPES

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

AMY L DZIKOWICZ NP (NPI 1316385768) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Michigan (4704207289) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316385768
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMY L DZIKOWICZCredential: NP
Location Address425 CHERRY ST SEGrand Rapids, MI 49503-4601
Mailing Address425 Cherry St SeGrand Rapids, MI 49503-4601 · (616) 774-7005 · Fax (616) 774-0516
Phone(616) 774-7005
Fax(616) 774-0516
Sole ProprietorNo
Enumeration DateJune 7, 2013
Last NPPES UpdateJanuary 2, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2022
✔ NPI 1316385768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704207289
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
425 CHERRY ST SE, Grand Rapids, MI 49503
Open in Google Maps ↗

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy L Dzikowicz Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amy Dzikowicz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackley Community Care Center, Inc
34 mi
Federally Qualified Health Center (FQHC)
2700 BAKER ST FL 3
Muskegon, MI 49444
  • Reassigned Medicare billing, Michigan enrollment
  • 32 clinicians in this Medicare group
NPI 1215504865 (231) 737-1335

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

KITTY MCCARTHY WHNP
Nurse Practitioner (Women's Health)
425 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 774-7005
MS. JANET LYNN ISABELL RNC
Registered Nurse (Women's Health Care, Ambulatory)
425 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 459-3101
MS. MARY PAMELA GELDHOF RNC-WHNP
Registered Nurse (Women's Health Care, Ambulatory)
425 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 459-3101
PLANNED PARENTHOOD OF WEST AND NORTHERN MICHIGAN, INC.
Health Maintenance Organization
425 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 774-7005
JAMIE KITCHEL
Midwife
425 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 774-7005
MICHELLE DEMEY FNP-C
Nurse Practitioner (Family)
425 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 774-7005
PLANNED PARENTHOOD OF WEST AND NORTHERN MICHIGAN
Obstetrics & Gynecology
425 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 774-7005
CHRISTINE L HEKSTRA
Nurse Practitioner
425 CHERRY ST SE
GRAND RAPIDS, MI 49503
Kent County (616) 774-7005

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 Amy Dzikowicz's NPI number?

The NPI number for Amy Dzikowicz is 1316385768. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Where is Amy Dzikowicz located?

Amy Dzikowicz practices at 425 Cherry St SE, Grand Rapids, MI 49503. The listed phone number is (616) 774-7005.

What is Amy Dzikowicz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amy Dzikowicz enrolled in Medicare?

Yes. Amy Dzikowicz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Dzikowicz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Dzikowicz reassigns Medicare benefits to Hackley Community Care Center, Inc (Muskegon, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Dzikowicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Dzikowicz 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 and 2 other insurers list Amy Dzikowicz 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 Amy Dzikowicz was last updated on January 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.