Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Kassab

Individual provider Family Nurse Practitioner · NPI 1760188312

Amanda Kassab is a Nurse Practitioner in West Bloomfield, Michigan. Qualified in 2021, 5 years ago. Practices with Pelham Primary Care PC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

33060 Northwestern Hwy
West Bloomfield, MI 48322-3693
Phone: (248) 328-2939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704348356 (MI)

Record details

NPI number1760188312
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing address33060 Northwestern Hwy, West Bloomfield, MI 48322-3693

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Pelham Primary Care Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in West Bloomfield