Amanda Fetterolf, MSN, FNP-BC - Medicare Nurse Practitioner in Harrison, MI

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Amanda Fetterolf, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Harrison, Michigan. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mymichigan Medical Center Gladwin, Central Michigan District Health Department and her current practice location is 815 N Clare Ave Ste B, Harrison, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 539-6731.

Amanda Fetterolf is licensed to practice in Michigan (license number 4704226162) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518528710.

Contact Information

Amanda Fetterolf, MSN, FNP-BC
815 N Clare Ave Ste B,
Harrison, MI 48625-8177
(989) 539-6731
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Fetterolf
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location815 N Clare Ave Ste B, Harrison, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Fetterolf graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1518528710
  • Provider Enumeration Date: 06/27/2019
  • Last Update Date: 06/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597091587
  • Enrollment ID: I20190729003436

Medical Identifiers

Medical identifiers for Amanda Fetterolf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518528710NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704226162 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Midmichigan Medical Center-gladwinGladwin, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mymichigan Medical Center Gladwin014326291555
Central Michigan District Health Department32747941365

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Fetterolf allows following entities to bill medicare on her behalf.
Entity NameMymichigan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740230127
PECOS PAC ID: 4981501939
Enrollment ID: O20040126000905
Entity NameMymichigan Medical Center Alma
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265596126
PECOS PAC ID: 3375451404
Enrollment ID: O20040202000975
Entity NameMymichigan Medical Center Midland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205889490
PECOS PAC ID: 2264323633
Enrollment ID: O20040324000137
Entity NameMymichigan Medical Center Clare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225081862
PECOS PAC ID: 7012829773
Enrollment ID: O20040720000582
Entity NameMymichigan Medical Center Gladwin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881869774
PECOS PAC ID: 0143262915
Enrollment ID: O20081024000094
Entity NameCentral Michigan District Health Department
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245283977
PECOS PAC ID: 3274794136
Enrollment ID: O20140529002054

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Fetterolf is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Fetterolf, MSN, FNP-BC
1680 Beachway,
Gladwin, MI 48624-9343

Ph: (989) 387-2487		Amanda Fetterolf, MSN, FNP-BC
815 N Clare Ave Ste B,
Harrison, MI 48625-8177

Ph: (989) 539-6731

Reviews and Comments


Nurse Practitioner Nurses in Harrison, MI

Mariah K Moore,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 815 N Clare Ave, Harrison, MI 48625
Phone: 989-539-4434    
Connie D Knapper, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 741 Richard Dr, Harrison, MI 48625
Phone: 989-539-6421    Fax: 989-539-1180
Deanna Lee Losey,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 751 State Rd, Harrison, MI 48625
Phone: 248-939-2455    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.