Active NPI
Nina Aleksandrovna Anufriyeva, NP
- Family Nurse Practitioner
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704311994
- Practice address
- 1711 Illinois Ave
Lansing, MI 48906-4606 - Phone
- (517) 388-6111
- NPI assigned
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704311994 | MI | Primary |
Addresses
Primary practice location
1711 Illinois Ave
Lansing, MI 48906-4606
Mailing address
1711 Illinois Ave
Lansing, MI 48906-4606
Phone (517) 388-6111
Other practice location 1
620 North 2nd Street
Laurels of Carson City
Carson City, MI 48811
Phone (989) 584-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Carpenters Way
Lakeland, FL 33809-3926
Phone (863) 815-0488
1525 Tamiami TRL S
Suite 603F
Venice, FL 34285-3568
Phone (941) 275-2968
1620 Helvenston St SE
Live Oak, FL 32064-3474
Phone (386) 362-7860
1626 Davis Rd
West Palm Beach, FL 33406-5640
Phone (561) 439-8897
18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone (941) 743-4700
3600 Old Boynton Rd
Boynton Beach, FL 33436-3912
Phone (561) 736-9992
4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200
701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704311994 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensive Care Experts Health Network LLC | Current | Accepting new patients | |
| Plymouth Urgent Care Walk-in Clinic LLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Er2You LLC | Current | Accepting new patients | |
| Intensive Care Experts Health Network LLC | Current | Accepting new patients |
Locations
701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195
4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748
1525 Tamiami Trl S
Ste 603F
Venice, FL 34285
Phone (941) 275-2968
620 N 2nd St
Carson City, MI 48811
Phone (614) 794-8800
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
1498 S Sheldon Rd
Plymouth, MI 48170
Phone (734) 890-4627
Interoperability endpoints
- https://api.platform.athenahealth.com/17280/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Venice, FL
- NPI 1457701369
-
- Pulmonary Disease Physician
- Hallandale Beach, FL
- NPI 1164824397
-
- Urgent Care Clinic/Center
- Plymouth, MI
- NPI 1972094027
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
-
- Acute Care Nurse Practitioner
- Lawrenceburg, TN
- NPI 1184596637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1093416604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 ILLINOIS AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489064606",
"telephone_number": "517-388-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 ILLINOIS AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489064606",
"telephone_number": "517-388-6111"
}
],
"practiceLocations": [
{
"address_1": "620 North 2nd Street",
"address_2": "Laurels of Carson City",
"address_purpose": "LOCATION",
"city": "Carson City",
"state": "MI",
"postal_code": "48811",
"country_code": "US",
"telephone_number": "989-584-6100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANUFRIYEVA",
"first_name": "NINA",
"middle_name": "ALEKSANDROVNA",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2024-02-26",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704311994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.