Individual provider Active NPI

Amy Lynn Depinto, NP

  • Nurse Practitioner
  • East Jordan, MI
National Provider Identifier
1629889506
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704321555 Issued in MI
Practice address
2823 Schroeder Rd
East Jordan, MI 49727-8917
Phone
(734) 395-9413
NPI assigned
Jan 18, 2025
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704321555 MI Primary

Addresses

Primary practice location

2823 Schroeder Rd
East Jordan, MI 49727-8917

Mailing address

2823 Schroeder Rd
East Jordan, MI 49727-8917
Phone (734) 395-9413

Other practice location 1

1266 Walton Blvd
Rochester Hills, MI 48307-6900
Phone (248) 710-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519002236 MI Practitioner - Nurse Practitioner 4688143613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2823 Schroeder Rd
East Jordan, MI 49727-8917

5065 Miller Rd
Flint, MI 48507-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704321555MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Health Medical Inc CurrentSince May 15, 2026 Accepting new patients
Pro-Health Medical FP CurrentSince May 15, 2026 Accepting new patients

Locations

1723 W M 32
Ste B
Gaylord, MI 49735
Phone (248) 238-3666

1266 Walton Blvd
Rochester Hls, MI 48307
Phone (248) 710-2900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1629889506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 SCHROEDER RD",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497278917",
            "telephone_number": "734-395-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 SCHROEDER RD",
            "city": "EAST JORDAN",
            "state": "MI",
            "postal_code": "497278917",
            "telephone_number": "734-395-9413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1266 Walton Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483076900",
            "country_code": "US",
            "telephone_number": "248-710-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPINTO",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-18",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704321555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Jordan, MI

Sources for this page

Verify at the official NPI Registry.