AMANDA LEE NEILSON NP
NPI 1376411025
Nurse Practitioner - Acute Care in Detroit, MI

NPI Status: Active since October 24, 2025

Contact Information

2799 W GRAND BLVD
DETROIT, MI
ZIP 48202
Phone: (313) 916-2600

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  • Individual
  • Female
  • Years of Experience 1
  • Nurse Practitioner
  • Acute Care
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About AMANDA NEILSON

This page provides the complete NPI Profile along with additional information for Amanda Neilson, a provider established in Detroit, Michigan with a medical specialization in Nurse Practitioner, focusing in acute care and more than one year of experience. The healthcare provider is registered in the NPI registry with number 1376411025 assigned on October 2025. The practitioner's primary taxonomy code is 363LA2100X with license number 4704357533 (MI). The provider is registered as an individual and her NPI record was last updated February 2026.

NPI
1376411025
Provider Name
AMANDA LEE NEILSON NP
Gender
Female
Entity Type
Individual
Location Address
2799 W GRAND BLVD DETROIT, MI 48202
Location Phone
(313) 916-2600
Mailing Address
2799 W GRAND BLVD DETROIT, MI 48202
Mailing Phone
(580) 304-3516
Medical School Name
OTHER
Graduation Year
2025
Is Sole Proprietor?
No
Enumeration Date
10-24-2025
Last Update Date
02-03-2026
Code Navigator

A nurse practitioner (NP) like Amanda Neilson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Acute Care

Taxonomy Code
363LA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4704357533
License State
MI

Medicare Participation & PECOS Enrollment Status

Amanda Neilson is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Amanda Neilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 244722395

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251125003559

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48202 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.76
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $22.69
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.35
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $25.58
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376411025, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 4 → 8 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 8 + 1 + 2 + 0 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1376411025.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Genetic Counselor, MS
2799 W GRAND BLVD, MEDICAL GENETICS CFP-4
DETROIT, MI 48202
Nurse Practitioner (Women's Health)
2799 W GRAND BLVD
DETROIT, MI 48202
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2799 W GRAND BLVD, WP-1102A
DETROIT, MI 48202
Internal Medicine
2799 W GRAND BLVD, K-17
DETROIT, MI 48202
Pathology (Anatomic Pathology & Clinical Pathology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, HENRY FORD DEPT. OF RADIOLOGY
DETROIT, MI 48202
Physician Assistant
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Infectious Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, DEPT OF DIAGNOSTIC RADIOLOGY
DETROIT, MI 48202
Psychiatry & Neurology (Psychiatry)
2799 W GRAND BLVD, DEPARTMENT OF BEHAVORIAL HEALTH
DETROIT, MI 48202
Ophthalmology
2799 W GRAND BLVD, EYE CARE SERVICES
DETROIT, MI 48202
Orthopaedic Surgery
2799 W GRAND BLVD, DEPARTMENT OF ORTHOPAEDIC SURGERY CFP-6
DETROIT, MI 48202
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2799 W GRAND BLVD, FIRST FLOOR
DETROIT, MI 48202
Ophthalmology
2799 W GRAND BLVD, HENRY FORD HOSPITAL, K-10
DETROIT, MI 48202
Social Worker (Clinical)
2799 W GRAND BLVD, K-16
DETROIT, MI 48202
Internal Medicine
2799 W GRAND BLVD, DEPARTMENT OF INTERNAL MEDICINE
DETROIT, MI 48202
Internal Medicine (Gastroenterology)
2799 W GRAND BLVD, DEPARTMENT OF GASTROENTEROLOGY
DETROIT, MI 48202
Anesthesiology
2799 W GRAND BLVD, DEPARTMENT OF ANESTHESIOLOGY
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, DEPARTMENT OF DIAGNOSTIC RADIOLOGY
DETROIT, MI 48202
Audiologist
2799 W GRAND BLVD, AUDIOLOGY K-8
DETROIT, MI 48202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376411025, enumerated as an "individual" on October 24, 2025.

The provider is located at 2799 W GRAND BLVD DETROIT, MI 48202 and the phone number is (313) 916-2600.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.