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AMANDA K NIXON PA-C PC
NPI 1578072591
Clinic/Center - Rural Health in Tustin, MI

Active since September 21, 2017
202 HOWARD ST, TUSTIN, MI 49688(231) 465-4165(231) 465-4315 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 5, 2019, Sep 21, 2017 (3 updates tracked since 2017).

About Amanda K Nixon Pa-c Pc NPPES

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

AMANDA K NIXON PA-C PC (NPI 1578072591) is a healthcare organization registered as a rural health in Tustin, Michigan and active in the NPI registry since September 2017. The organization lists Amanda K Nixon, Owner, as its authorized official.

NPPES Registry Identity

NPI1578072591
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameAMANDA K NIXON PA-C PC
Location Address202 HOWARD STTustin, MI 49688-5123
Mailing AddressPo Box 74Tustin, MI 49688-0074 · (231) 465-4165 · Fax (231) 465-4165
Phone(231) 465-4165
Fax(231) 465-4315
Organization SubpartNo
Authorized OfficialAmanda K NixonOwner · (231) 465-4165
Enumeration DateSeptember 21, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1578072591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
202 HOWARD ST, Tustin, MI 49688
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda K Nixon Pa-c Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Amanda K Nixon PA-C PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jonathan Dennis, DO
Family Practice
NPI 1578523502
111 CHURCH STREET
Tustin, MI 49688
(231) 832-8560
✔ PECOS✔ Accepts Medicare0.1 mi

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

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 K Nixon Pa-C PC's NPI number?

The NPI number for Amanda K Nixon Pa-C PC is 1578072591. It was assigned to this organization in the NPPES registry on September 21, 2017.

Where is Amanda K Nixon Pa-C PC located?

Amanda K Nixon Pa-C PC is located at 202 Howard St, Tustin, MI 49688. The listed phone number is (231) 465-4165.

What is Amanda K Nixon Pa-C PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Amanda K Nixon Pa-C PC enrolled in Medicare?

Yes. Amanda K Nixon Pa-C PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amanda K Nixon Pa-C PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Amanda K Nixon Pa-C PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Amanda K Nixon Pa-C PC 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 list Amanda K Nixon Pa-C PC 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 K Nixon Pa-C PC was last updated on July 21, 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.