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AMANDA STEVENS MD
NPI 1679153399
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 08, 2021PECOS Enrolled
4160 JOHN R ST STE 615, DETROIT, MI 48201(313) 745-4195 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amanda Stevens Md NPPES

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

AMANDA STEVENS MD (NPI 1679153399) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679153399
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA STEVENSCredential: MD
Location Address4160 JOHN R ST STE 615Detroit, MI 48201-2022
Mailing Address4160 John R St Ste 615Detroit, MI 48201-2022 · (313) 745-4195
Phone(313) 745-4195
Sole ProprietorNo
Enumeration DateApril 8, 2021
Last NPPES UpdateJune 17, 2022
NPPES CertifiedJune 17, 2022
✔ NPI 1679153399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4160 JOHN R ST STE 615, Detroit, MI 48201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Stevens Md 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.

Other Providers at the Same Location NPPES 20

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

DR. TODD THORNTON LAVERY M.D.
Surgery
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-8773
ROOZBEH MANSOUR MD
Surgery
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-8773
DR. JESSICA DORNBUSH MCGEE M.D.
Surgery
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. RYAN DOUGLAS ROSEN DO
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (248) 752-4395
UCHEZE CHINWENDU ONONUJU MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
NICHOLAS JERRY CALVO MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ELIZABETH L RIDGE MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
MR. WILLIAM B DAILEY II MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195

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 Stevens's NPI number?

The NPI number for Amanda Stevens is 1679153399. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Amanda Stevens located?

Amanda Stevens practices at 4160 John R St Ste 615, Detroit, MI 48201. The listed phone number is (313) 745-4195.

What is Amanda Stevens's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanda Stevens enrolled in Medicare?

Yes. Amanda Stevens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Stevens was last updated on June 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.