| Amanda Marie Root, PMHNP-BC | |
|
6505 Cherry Meadow Dr Se, Caledonia, MI 49316-9484 | |
| (616) 891-8770 | |
| (616) 891-3504 |
| Full Name | Amanda Marie Root |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 6505 Cherry Meadow Dr Se, Caledonia, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881350890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704318995 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pine Rest Christian Mental Health Services | 4981506508 | 350 |
| Entity Name | Pine Rest Christian Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467463604 PECOS PAC ID: 4981506508 Enrollment ID: O20041103000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Marie Root, PMHNP-BC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000 | Amanda Marie Root, PMHNP-BC 6505 Cherry Meadow Dr Se, Caledonia, MI 49316-9484 Ph: (616) 891-8770 |
Julie Stinton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8941 N Rodgers Ct Se, Caledonia, MI 49316 Phone: 616-252-5300 Fax: 616-252-5390 | |
Manamina Mohamed, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6463 Prairie Pointe Dr Se, Caledonia, MI 49316 Phone: 616-482-9709 | |
Terri Rosel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8941 N Rodgers Ct Se, Caledonia, MI 49316 Phone: 616-252-5300 Fax: 616-252-5390 | |
Musu Olu Sonnie-williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6897 Dale Hollow Dr Se, Caledonia, MI 49316 Phone: 616-648-3246 | |
Racheal Brooker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9090 S Rodgers Ct Se, Caledonia, MI 49316 Phone: 616-891-0422 | |
Thuy-nhi Ngoc Uribe, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1516 Crystalline Dr Se, Caledonia, MI 49316 Phone: 616-460-1734 | |
Nichole Anne Bundschuh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9090 S Rodgers Ct Se Ste A, Caledonia, MI 49316 Phone: 616-891-0422 |