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AMANDA FETTEROLF MSN, FNP-BC
NPI 1518528710
Nurse Practitioner - Family in Harrison, MI

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
815 N CLARE AVE STE B, HARRISON, MI 48625(989) 539-6731 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 16, 2022, Nov 29, 2021, Apr 6, 2021 (3 updates tracked since 2021).

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

NPI1518528710
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA FETTEROLFCredential: MSN, FNP-BC
Location Address815 N CLARE AVE STE BHarrison, MI 48625-8177
Mailing Address1680 BeachwayGladwin, MI 48624-9343 · (989) 387-2487
Phone(989) 539-6731
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 27, 2019
Last NPPES UpdateJune 27, 20223 updates tracked since enumeration
NPPES CertifiedJune 27, 2022
✔ NPI 1518528710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704226162
815 N CLARE AVE STE B, Harrison, MI 48625
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Breault

Secondary Practice Location 1

Location 14000 Wellness DrMidland, MI 48670-8177 · Phone (989) 839-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5597091587
PECOS Enrollment IDI20190729003436
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.

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, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230180
Location703 N Mcewan StClare, MI 48617 · Clare County

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Mymichigan Medical Center Gladwin

Critical Access Hospitals · Gladwin, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231325
Location515 Quarter StreetGladwin, MI 48624 · Gladwin County
Emergency services

Physician 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.

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 2

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

JENNIFER ROSE OVERZET HIT, CHW
Community Health Worker
815 N CLARE AVE STE B
HARRISON, MI 48625
Clare County (989) 539-6731
EMILY LOUISE GEE CHW
Community Health Worker
815 N CLARE AVE STE B
HARRISON, MI 48625
Clare County (989) 539-6731

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.

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.