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

Amanda Willane Michaels, ADNP

Individual provider Family Nurse Practitioner · NPI 1275027344

Amanda Willane Michaels, ADNP is a Nurse Practitioner in Bethalto, Illinois. Qualified in 2017, 9 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018

Practice location Address checks out

163 E Bethalto Dr
Bethalto, IL 62010-1801
Phone: (618) 433-6490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209-017712 (IL)

Record details

NPI number1275027344
Entity typeIndividual (Type 1)
GenderFemale
Credentials ADNP
Sole proprietorNo
NPI enumeratedJune 21, 2018
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address163 E Bethalto Dr, Bethalto, IL 62010-1801

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bethalto