Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Marie Root, PMHNP-BC

Individual provider Nurse Practitioner · NPI 1881350890

Amanda Marie Root, PMHNP-BC is a Nurse Practitioner in Caledonia, Michigan. Qualified in 2021, 5 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

6505 Cherry Meadow Dr SE
Caledonia, MI 49316-9484
Phone: (616) 891-8770
Fax: (616) 891-3504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 68th St Se, Grand Rapids, MI 49548-6927 — (616) 455-5000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704318995 (MI)

Record details

NPI number1881350890
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedNovember 14, 2021
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

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 Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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