Amanda Serio, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704316313 Issued in MI

Practice address

1500 Caberfae Hwy
Manistee, MI 49660-8902

Phone

(231) 723-8272

NPI assigned

Oct 6, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Amanda Mattison Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1558871327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 ARCHER RD",
            "city": "BRETHREN",
            "state": "MI",
            "postal_code": "496199717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CABERFAE HWY",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496608902",
            "telephone_number": "231-723-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2198 US 31 S",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "496609618",
            "country_code": "US",
            "telephone_number": "877-398-2013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Glocheski Dr",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "496602639",
            "country_code": "US",
            "telephone_number": "877-398-2013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERIO",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704316313",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704316313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "4704316313",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "NA",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "Y",
            "affiliationName": "The Wellpath Center P.C.",
            "address_1": "1301 Shiloh Rd NW Ste 1610",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301447168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MATTISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William A Schnurr, D.O.
• Angela Schwandt, LPC
• Elizabeth Seager
• Barbara Sell
• James R Senn, LLP
• Tracy Shimel
• Jennifer Sielski, LPC
• Sandra S Sielski, RN
• Esther Sigurdardottir, PT
• Sleep Apnea Solutions PC

• Family Nurse Practitioner in Manistee, MI
• Providers in Manistee, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.