AMANDA FETTEROLF MSN, FNP-BC
NPI 1518528710
Nurse Practitioner - Family in Harrison, MI
About Amanda Fetterolf Msn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA FETTEROLF MSN, FNP-BC (NPI 1518528710) is an individual family provider in Harrison, Michigan, licensed in Michigan (4704226162) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Clare, and maintains a secondary practice location in Midland.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amanda Fetterolf Msn, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show Amanda Fetterolf reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clare, MI 48617
- Reassigned Medicare billing, Michigan enrollment
- Also billed through NPI 1134394026 (Michigan)
- 62 clinicians in this Medicare group
Gladwin, MI 48624
- Reassigned Medicare billing, Michigan enrollment
- 162 clinicians in this Medicare group
Mt Pleasant, MI 48858
- Reassigned Medicare billing, Michigan enrollment
- 258 clinicians in this Medicare group
Mount Pleasant, MI 48858
- Reassigned Medicare billing, Michigan enrollment
- 9 clinicians in this Medicare group
Midland, MI 48670
- Reassigned Medicare billing, Michigan enrollment
- 536 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mymichigan Medical Center Clare
Acute Care Hospitals · Clare, MIMymichigan Medical Center Midland
Acute Care Hospitals · Midland, MIMymichigan Medical Center Gladwin
Critical Access Hospitals · Gladwin, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48625 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fetterolf's NPI number?
The NPI number for Amanda Fetterolf is 1518528710. It was assigned to this individual provider in the NPPES registry on June 27, 2019. The provider is also known as Amanda Breault.
Where is Amanda Fetterolf located?
Amanda Fetterolf practices at 815 N Clare Ave Ste B, Harrison, MI 48625. The listed phone number is (989) 539-6731.
What is Amanda Fetterolf's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Fetterolf enrolled in Medicare?
Yes. Amanda Fetterolf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Amanda Fetterolf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Fetterolf reassigns Medicare benefits to 5 organizations: Mymichigan Medical Center Clare (Clare, MI), Mymichigan Medical Center Gladwin (Gladwin, MI), Mymichigan Medical Center Alma (Mt Pleasant, MI), Central Michigan District Health Department (Mount Pleasant, MI) and Mymichigan Medical Center Midland (Midland, MI). Each 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 Amanda Fetterolf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Fetterolf accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Amanda Fetterolf 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.
Is Amanda Fetterolf affiliated with any hospitals?
According to CMS data, Amanda Fetterolf is affiliated with Mymichigan Medical Center Clare, Mymichigan Medical Center Midland and Mymichigan Medical Center Gladwin.
When was this NPI record last updated?
The NPPES record for Amanda Fetterolf was last updated on June 27, 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.
# Amanda Fetterolf, MSN, FNP-BC · NPI 1518528710
Family physician in Harrison, Michigan. Individual provider, active in the CMS NPPES registry since June 27, 2019.
## Identity
- **NPI:** 1518528710 (Entity type: Individual)
- **Enumerated:** June 27, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704226162 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 815 N CLARE AVE STE B, Harrison, MI 48625-8177
- **Phone:** (989) 539-6731
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mymichigan Medical Center Clare (NPI 1225081862, Clare, MI); Mymichigan Medical Center Gladwin (NPI 1073999298, Gladwin, MI); Mymichigan Medical Center Alma (NPI 1356570808, Mt Pleasant, MI); Central Michigan District Health Department (NPI 1245283977, Mount Pleasant, MI); Mymichigan Medical Center Midland (NPI 1205889490, Midland, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1518528710) · Data from the CMS NPPES public registry.