NPIMap

Individual provider Active NPI

Ann Marie Nienhuis, FNP-BC

  • Family Nurse Practitioner
  • Shelby, MI
National Provider Identifier
1093144123
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704217181 Issued in MI
Practice address
71 Bevier St
Shelby, MI 49455-1209
Phone
(231) 861-2187
Fax
(231) 861-5100
NPI assigned
Nov 8, 2013
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 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 4704217181 MI Primary

Addresses

Primary practice location

71 Bevier St
Shelby, MI 49455-1209

Mailing address

71 Bevier St
Shelby, MI 49455-1209
Phone (231) 861-2187

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ann.nienhuis@mercyhealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140224000854 MI Practitioner - Nurse Practitioner 0143450999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health PartnersGroup PAC ID 1456430016, 65 clinicians
Lakeshore Community Hospital IncGroup PAC ID 8224078993, 11 clinicians

Practice addresses (Care Compare)

5656 W US Hwy 10
Ludington, MI 49431-2454
Phone (231) 843-2543

71 Bevier St
Shelby, MI 49455-1209

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Partners CurrentSince Jul 1, 2016 Accepting new patients
Mercy Health Partners CurrentSince Jul 1, 2016 Accepting new patients
Mercy Health Partners Past Accepting new patients

Locations

957 Brookhaven Ct
Muskegon, MI 49442
Phone (231) 777-1916

957 Brookhaven Ct
Bldg E
Muskegon, MI 49442

957 Brookhaven Ct
Ste 3
Muskegon, MI 49442
Phone (231) 777-1916

71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172

Interoperability endpoints

  • Direct secure messaging: anienhuis36561@direct.trinity-health.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.

Hospital & facility affiliations 4

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1093144123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BEVIER ST",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494551209",
            "telephone_number": "231-861-2187",
            "fax_number": "231-861-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BEVIER ST",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494551209",
            "telephone_number": "231-861-2187",
            "fax_number": "231-861-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENHUIS",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704217181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ann.nienhuis@mercyhealth.com",
            "affiliation": "N",
            "endpointDescription": "Lakeshore medical Shelby",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "71 Bevier St",
            "city": "Shelby",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494551209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby, MI

Sources for this page

Verify at the official NPI Registry.