Individual provider Active NPI

Amber M Ryan, NP-C

  • Family Nurse Practitioner
  • Stanton, MI
National Provider Identifier
1003422676
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704294251 Issued in MI
Practice address
2799 N Cedar Lake Rd
Stanton, MI 48888-9417
Phone
(989) 565-4850
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704294251 MI Primary

Addresses

Primary practice location

2799 N Cedar Lake Rd
Stanton, MI 48888-9417

Mailing address

2799 N Cedar Lake Rd
Stanton, MI 48888-9417
Phone (989) 565-4850

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
I20211118001632 MI Practitioner - Nurse Practitioner 3870982556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Carson HospitalGroup PAC ID 7113836701, 63 clinicians

Practice addresses (Care Compare)

1014 E Washington St
Greenville, MI 48838-2463
Phone (616) 754-7145

245 S 2ND St
Carson City, MI 48811-9650

639 E Main St
Sparrow Medical Group OBGYN Carson
Carson City, MI 48811-9795
Phone (989) 584-3107

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704294251MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Carson Hospital CurrentSince Nov 1, 2021 Accepting new patients
Sparrow Carson Hospital CurrentSince Nov 1, 2021 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Sparrow Carson Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145

545 N State St
Stanton, MI 48888
Phone 9898318301 ext. 360

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1003422676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 N CEDAR LAKE RD",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488889417",
            "telephone_number": "989-565-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 N CEDAR LAKE RD",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488889417",
            "telephone_number": "989-565-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "AMBER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704294251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, MI

Sources for this page

Verify at the official NPI Registry.