Individual provider Active NPI

Amber Marie Perez, FNP-C

  • Family Nurse Practitioner
  • Allegan, MI
National Provider Identifier
1104531409
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704317942 Issued in MI
Practice address
226 Knapp St
Allegan, MI 49010-1518
Phone
(660) 631-2867
Fax
(269) 355-1874
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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 4704317942 MI Primary

Addresses

Primary practice location

226 Knapp St
Allegan, MI 49010-1518

Mailing address

226 Knapp St
Allegan, MI 49010-1518
Phone (660) 631-2867

Other names 1

  • Amber Marie Dovin Former name

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
I20230213000681 MI Practitioner - Nurse Practitioner 8325410707 Reassigns benefits to 3 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
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Borgess Hospital CurrentSince Oct 11, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Feb 27, 2023 Accepting new patients
Ascension Borgess Hospital CurrentSince Oct 11, 2023 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Feb 27, 2023 Accepting new patients
Pic Indiana PC CurrentSince May 1, 2025 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients

Locations

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

3570 N US 31 S
Traverse City, MI 49684
Phone (231) 486-2573

Organizations & group practices 7

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1104531409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 KNAPP ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101518",
            "telephone_number": "660-631-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 KNAPP ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101518",
            "telephone_number": "660-631-2867",
            "fax_number": "269-355-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704317942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DOVIN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allegan, MI

Sources for this page

Verify at the official NPI Registry.