Individual provider Active NPI

Nina Aleksandrovna Anufriyeva, NP

  • Family Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1093416604
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704311994 Issued in MI
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

Updated by the provider on Feb 26, 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 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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230412000862 MI Practitioner - Nurse Practitioner 3476928102 Reassigns benefits to 2 organizations
I20250417000663 FL Practitioner - Nurse Practitioner 3476928102 Reassigns benefits to 2 organizations

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
Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians
Er2You LLCGroup PAC ID 4880966548, 7 clinicians

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

LicenseStateTypeSpecialty
4704311994MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Apr 1, 2025 Accepting new patients
Plymouth Urgent Care Walk-in Clinic LLC CurrentSince Mar 29, 2023 Accepting new patients
Theoria Medical CurrentSince Feb 4, 2024 Accepting new patients
Er2You LLC CurrentSince Jan 19, 2026 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Apr 1, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/17280/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.