Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda McCormick, AGNP-C

Individual provider Nurse Practitioner · NPI 1295333938

Amanda McCormick, AGNP-C is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with Advantage Health/Saint Mary's Medical Group, a 494-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

624 Cherry St SE Apt 5
Grand Rapids, MI 49503-4778
Phone: (269) 718-8612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704292297 (MI)

Record details

NPI number1295333938
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedOctober 14, 2020
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Advantage Health/Saint Mary'S Medical Group — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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