Individual provider Active NPI

Anna Lyn Mapes, FNP

  • Nurse Practitioner
  • Benzonia, MI
National Provider Identifier
1053910703
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704310963 Issued in MI
Practice address
6227 Frankfort Hwy
Benzonia, MI 49616-8632
Phone
(231) 882-9661
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 4704310963 MI Primary

Addresses

Primary practice location

6227 Frankfort Hwy
Benzonia, MI 49616-8632

Mailing address

6227 Frankfort Hwy
Benzonia, MI 49616-8632
Phone (231) 882-9661

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
I20201210002415 MI Practitioner - Nurse Practitioner 4082026331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Therapy Housecalls PCGroup PAC ID 7719876580, shared by 2 NPIs, 71 clinicians

Practice addresses (Care Compare)

9731 E Cherry Bend Rd
Traverse City, MI 49684-7621
Phone (231) 941-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Jordan Family Health Center CurrentSince Dec 1, 2020 Accepting new patients
Crystal Lake Clinic P.C. CurrentSince Aug 1, 2022 Accepting new patients
Crystal Lake Clinic P.C. CurrentSince Aug 1, 2022 Accepting new patients
Crystal Lake Clinic PC Current Accepting new patients
East Jordan Family Health Center CurrentSince Dec 1, 2020 Accepting new patients
Crystal Lake Clinic P.C. Past Accepting new patients
Crystal Lake Clinic, PC Past Accepting new patients
Crystal Lake Clinic, P.C. Past Accepting new patients
Crystal Lake Clinic P.C. Past Accepting new patients

Locations

6227 Frankfort Hwy
Benzonia, MI 49616
Phone (231) 882-9661

601 Bridge St
East Jordan, MI 49727
Phone (231) 536-2206

124 Ames St
Elk Rapids, MI 49629
Phone (231) 264-8282

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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 2

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1053910703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6227 FRANKFORT HWY",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496168632",
            "telephone_number": "231-882-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6227 FRANKFORT HWY",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496168632",
            "telephone_number": "231-882-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPES",
        "first_name": "ANNA",
        "middle_name": "LYN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704310963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benzonia, MI

Sources for this page

Verify at the official NPI Registry.