Individual provider Active NPI

Hannah Jane Antoni, FNP

  • Family Nurse Practitioner
  • Belmont, MI
National Provider Identifier
1053980854
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704363969 Issued in MI
Practice address
6081 West River Dr NE
Belmont, MI 49306-9219
Phone
(616) 625-0386
NPI assigned
Jun 24, 2021
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704363969 MI
Family Nurse Practitioner 363LF0000X 4704363969 MI Primary

Addresses

Primary practice location

6081 West River Dr NE
Belmont, MI 49306-9219

Mailing address

2407 College Ave NE
Grand Rapids, MI 49505-3638
Phone (989) 464-3998

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
I20241127000631 MI Practitioner - Nurse Practitioner 8527593557 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Age Management of West Michigan PCGroup PAC ID 2466686290, 23 clinicians

Practice addresses (Care Compare)

1959 E Paris Ave SE
Grand Rapids, MI 49546-6272
Phone (616) 808-2695

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704363969MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Age Management of West Michigan PC CurrentSince Jun 25, 2025 Accepting new patients
Theoria Medical CurrentSince Oct 14, 2024 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

725 Fuller Ave
Big Rapids, MI 49307
Phone (231) 796-2631

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

5370 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 344-6839

1959 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 285-3700

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

186 N Main St
Plymouth, MI 48170
Phone (734) 277-1810

Interoperability endpoints

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

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.

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1053980854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 COLLEGE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053638",
            "telephone_number": "989-464-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6081 WEST RIVER DR NE",
            "city": "BELMONT",
            "state": "MI",
            "postal_code": "493069219",
            "telephone_number": "616-625-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONI",
        "first_name": "HANNAH",
        "middle_name": "JANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704363969",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704363969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MI

Sources for this page

Verify at the official NPI Registry.