NPIMap

Individual provider Active NPI

Amelia Emilee Albachten, FNP-BC

  • Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1093169302
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704281244 Issued in MI
Practice address
770 Kenmoor Ave SE
Grand Rapids, MI 49546-8621
Phone
(616) 272-3533
Fax
(616) 259-4839
NPI assigned
Apr 22, 2016
Last updated
May 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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 4704281244 MI Primary

Addresses

Primary practice location

770 Kenmoor Ave SE
Grand Rapids, MI 49546-8621

Mailing address

PO Box 631671
Cincinnati, OH 45263-1671
Phone (877) 227-8823

Other practice location 1

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone (877) 227-8823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160617000583 MI Practitioner - Nurse Practitioner 0244521409 Reassigns benefits to 7 organizations
I20241022000280 OH Practitioner - Nurse Practitioner 0244521409 Reassigns benefits to 1 organization
I20241205002720 IN Practitioner - Nurse Practitioner 0244521409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Total Extended Care Services PCGroup PAC ID 9133029127, 29 clinicians
Northstar Palliative Care IncGroup PAC ID 6800148677, 26 clinicians
Northview Medical House Calls PLCGroup PAC ID 9537345400, 36 clinicians
Northview Health Specialists, PLLCGroup PAC ID 9638422835, 24 clinicians

Practice addresses (Care Compare)

18312 Middlebelt Rd
Livonia, MI 48152-5007
Phone (248) 426-9944

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone (877) 227-8823

4760 Fashion Square Blvd
Suite L 1
Saginaw, MI 48604-2620
Phone (989) 282-4003

770 Kenmoor Ave SE
Suite 100
Grand Rapids, MI 49546-8602
Phone (616) 272-3533

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704281244MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Jan 23, 2026 Accepting new patients
Northstar Palliative Care Inc CurrentSince May 1, 2024 Accepting new patients
Careline Hin100 LLC CurrentSince Nov 6, 2024 Accepting new patients
Careline Pin100 LLC CurrentSince Nov 6, 2024 Accepting new patients
Careline Poh100 LLC CurrentSince Sep 1, 2024 Accepting new patients
Careconnectmd Michigan PC CurrentSince Jul 31, 2023 Accepting new patients
Northview Health Specialists, PLLC CurrentSince May 2, 2022 Accepting new patients
Careline Hmi300 LLC CurrentSince May 2, 2022 Accepting new patients
Harpal S Jande MD PC PastSince Jun 15, 2021 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

600 E Carmel Dr
Ste 100
Carmel, IN 46032
Phone (317) 762-8194

600 E Carmel Dr
Ste 144
Carmel, IN 46032
Phone (317) 349-7015

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

2366 Oak Valley Dr
Ann Arbor, MI 48103
Phone (734) 662-5999

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

770 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 272-3533

103 S Jackson St
Ste 200
Jackson, MI 49201
Phone (517) 212-2008

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

3550 Briarfield Blvd
Ste 300
Maumee, OH 43537
Phone (419) 452-2102

Organizations & group practices 12

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 8

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": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1093169302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631671",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631671",
            "telephone_number": "877-227-8823",
            "fax_number": "313-578-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 KENMOOR AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468621",
            "telephone_number": "616-272-3533",
            "fax_number": "616-259-4839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2366 Oak Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481038944",
            "country_code": "US",
            "telephone_number": "877-227-8823",
            "fax_number": "313-578-6393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBACHTEN",
        "first_name": "AMELIA",
        "middle_name": "EMILEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704281244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.