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Active NPI 1861002883 Individual Practitioner Female Practitioner

Amanda L Wilson , PEDIATRIC NP

Nurse Practitioner - Pediatrics • Coldwater, MI

Professional Overview & Biography Verified Profile Summary

Amanda Wilson, PEDIATRIC NP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Coldwater, MI. Practice services are available at 358 E CHICAGO ST STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

358 E Chicago St Ste 202

Coldwater, MI 490362073

Telephone 5172795252
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Coldwater, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 8.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Coldwater, MI (538 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-28
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MI 4704264564

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MI 4704264564

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1023045382

Doctor of Medicine (M.D.)

Kelsey Norwood , CPNP-PC, CPNP-AC

Nurse Practitioner - Pediatrics

NPI 1265254007

CPNPPC, CPNPAC

NPI 1306873658

Doctor of Medicine (M.D.)

NPI 1538187877

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 28, 2025

Registered at 358 E CHICAGO ST STE 202, COLDWATER, MI 490362073 (Tel: 5172795252)

📍
Updated Business Mailing Address February 28, 2025

Registered at 17444 Q DR N, MARSHALL, MI 490689418 (Tel: 5172437774)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2025

Nurse Practitioner (License #4704264564 in MI)

📍
Updated Business Mailing Address February 07, 2022

Registered at 1515 LAKE LANSING RD STE C2, LANSING, MI 489123752 (Tel: 5174829582)

NPI Profile Active August 04, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2020

Registered at 17444 Q DR N, MARSHALL, MI 490689418 (Tel: 5172437774)

📍
Updated Business Mailing Address August 04, 2020

Registered at 17444 Q DR N, MARSHALL, MI 490689418 (Tel: 5172437774)

👤
Provider Name / Credentials Updated August 04, 2020

Recorded as AMANDA WILSON, PEDIATRIC NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2020

Registered Nurse (License #4704264564 in MI)

🟢
Initial NPI Registration & Enumeration August 04, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861002883
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2020
Last Update: February 28, 2025
Sole Proprietor: No

Mailing Address

17444 Q Dr N

Marshall, MI 490689418

Phone: 5172437774

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.