Individual provider Active NPI

Emily L Page, MSN, FNP-C

  • Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1043839111
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704255220 Issued in MI
Practice address
401 Hall St SW Ste 263
Grand Rapids, MI 49503-4988
Phone
(616) 719-0919
Fax
(616) 719-0933
NPI assigned
Apr 9, 2020
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704255220 MI Primary
Family Nurse Practitioner 363LF0000X 4704255220 MI

Addresses

Primary practice location

401 Hall St SW Ste 263
Grand Rapids, MI 49503-4988

Mailing address

401 Hall St SW Ste 263
Grand Rapids, MI 49503-4988
Phone (616) 719-0919

Other practice location 1

2100 Raybrook St SE
Grand Rapids, MI 49546-7759
Phone (616) 235-5100

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address epage@emmanuelhospice.org Direct
CONNECT URL hollandhome.org

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
I20210611001219 MI Practitioner - Nurse Practitioner 3779983820 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Emmanuel Hospice CurrentSince Aug 15, 2025 Accepting new patients
Emmanuel Hospice CurrentSince Aug 15, 2025 Accepting new patients
Faith Palliative Care PastSince Apr 1, 2020 Accepting new patients

Locations

3600 Fulton St E
Grand Rapids, MI 49546
Phone (616) 949-4971

401 Hall St SW
Ste 263
Grand Rapids, MI 49503
Phone (616) 719-0919

Interoperability endpoints

  • Direct secure messaging: epage@emmanuelhospice.org

Organizations & group practices 3

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1043839111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 263",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034988",
            "telephone_number": "616-719-0919",
            "fax_number": "616-719-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HALL ST SW STE 263",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034988",
            "telephone_number": "616-719-0919",
            "fax_number": "616-719-0933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Raybrook St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495467759",
            "country_code": "US",
            "telephone_number": "616-235-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "EMILY",
        "middle_name": "L",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704255220",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704255220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epage@emmanuelhospice.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 Hall St SW STE 263",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495034988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hollandhome.org",
            "affiliation": "N",
            "address_1": "2100 Raybrook St SE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495467759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.