Individual provider Active NPI

Andrea Jennae Thurlow, FNP-BC

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1003520727
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704352912 Issued in MI
Practice address
G3267 Beecher Rd
Flint, MI 48532-3615
Phone
(989) 372-1590
Fax
(866) 466-9781
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 4704352912 MI Primary

Addresses

Primary practice location

G3267 Beecher Rd
Flint, MI 48532-3615

Mailing address

G3267 Beecher Rd
Flint, MI 48532-3615
Phone (989) 372-1590

Other names 1

  • Andrea Jennae Draheim Former name

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
I20240226000364 MI Practitioner - Nurse Practitioner 9638514029 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704352912MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
IHS Medical Clinic CurrentSince Apr 1, 2024 Accepting new patients
TM Chiropractic, LLC PastSince Jul 22, 2025 Accepting new patients

Locations

1152 E Caro Rd
Caro, MI 48723
Phone (898) 372-1590

700 Borton Ave
Essexville, MI 48732
Phone (989) 372-1590

G3267 Beecher Rd
Flint, MI 48532
Phone (248) 331-7239

801 Joe Mann Blvd
Ste P-6
Midland, MI 48642

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1003520727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3267 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323615",
            "telephone_number": "989-372-1590",
            "fax_number": "866-466-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3267 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323615",
            "telephone_number": "989-372-1590",
            "fax_number": "866-466-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURLOW",
        "first_name": "ANDREA",
        "middle_name": "JENNAE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704352912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "DRAHEIM",
            "middle_name": "JENNAE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.