Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA ANTONIETTA NELSON NP
NPI 1699695452
Nurse Practitioner - Family in Michigan City, IN

Q: What is Amanda Nelson's NPI number?

The NPI number for Amanda Nelson is 1699695452. It was assigned to this individual provider in the NPPES registry on July 20, 2026.

Q: What is Amanda Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Nelson was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since July 20, 2026PECOS Enrolled

3500 FRANCISCAN WAY STE 400, MICHIGAN CITY, IN 46360(219) 879-8511(219) 878-8333 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2026, Jul 20, 2026 (2 updates tracked since 2026).

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About Amanda Antonietta Nelson Np NPPES

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

AMANDA ANTONIETTA NELSON NP (NPI 1699695452) is an individual family provider in Michigan City, Indiana, licensed in Indiana (71018622A) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699695452

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA ANTONIETTA NELSONCredential: NP

Location Address3500 FRANCISCAN WAY STE 400Michigan City, IN 46360-0033

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 879-8511

Fax(219) 878-8333

Sole ProprietorNo

Enumeration DateJuly 20, 2026

Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1699695452 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

Licenses✔ Licensed in IN · 71018622A✔ Licensed in IN · 28174110A

3500 FRANCISCAN WAY STE 400, Michigan City, IN 46360

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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 Antonietta Nelson Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 20

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

BROOKE NACK PT

Physical Therapist