Amanda Mae Bachman, AG-ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704228627 Issued in MI

Practice address

7563 Paradise Dr
Grand Blanc, MI 48439-8598

Phone

(810) 422-3333

NPI assigned

Oct 14, 2021

Last updated

Jan 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesys Practice Partners IncGroup PAC ID 3476456492, 37 clinicians

Henry Ford Health Providence HospitalGroup PAC ID 6103738703, 364 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.bachman.1@11016.direct.athenahealth.com

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.

• Genesys Practice Partners Inc

  • Family Medicine Physician
  • Grand Blanc, MI
  • NPI 1982647004
  Medicare reassignment Care Compare group NPD
• Henry Ford Health Providence Hospital

  dba Henry Ford Providence Hospital

  • Surgery Physician
  • Southfield, MI
  • NPI 1942265236

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Henry Ford Health Macomb-Oakland Hospital

  dba Henry Ford Warren Hospital

  • Family Medicine Physician
  • Warren, MI
  • NPI 1134176472
  Medicare reassignment NPD
• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Primary Care Towne Centre

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1326658154
  Medicare reassignment NPD
• Genesys Practice Partners Inc

  dba Henry Ford Genesys Group

  • Family Medicine Physician
  • Grand Blanc, MI
  • NPI 1194774752
  NPD
• Genesys Practice Partners, Inc

  dba Gensys Inpatient Psychiatry

  • Psychiatry Physician
  • Grand Blanc, MI
  • NPI 1336842160
  NPD
• Henry Ford Health Macomb-Oakland Hospital

  dba Henry Ford Warren Hospital

  • Social Worker
  • Warren, MI
  • NPI 1548609761
  NPD
• Henry Ford Health Providence Hospital

  dba Henry Ford Providence Hospital

  • Pediatrics Physician
  • Southfield, MI
  • NPI 1265497226
  NPD
• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Cardiothoracic Surgical Associates Saginaw

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Saginaw, MI
  • NPI 1154087914
  NPD
• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Riverfront Cardiology

  • Cardiovascular Disease Physician
  • Saginaw, MI
  • NPI 1467736132
  NPD
• Mymichigan Medical Center Saginaw

  dba Ascension Medical Group Heritage Family Physicians

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1518042530
  NPD
• Ascension Medical Group Michigan

  dba Henry Ford Semi Medical Group

  • Family Medicine Physician
  • Clinton Township, MI
  • NPI 1396913893
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Genesys Hospital

  • General Acute Care Hospital
  • Grand Blanc, MI
  • NPI 1407877723
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1104589373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD # 3",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-2600",
            "fax_number": "248-849-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7563 PARADISE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398598",
            "telephone_number": "810-422-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Genesys Pkwy Ste 3452",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484398065",
            "country_code": "US",
            "telephone_number": "248-849-2600",
            "fax_number": "248-849-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "AMANDA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "AG-ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704228627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Ayotte, MSOT, OTRL
• Melissa Mary Ayre, LMSW/C
• Bala C Aysola, M.D.
• Masharee Lashaun Babers, LLMSW
• Ashwin Babuji, DO
• Badar Ahmed M.D., P.C. (Badar Ahmed, M.D.)
• Janet Marie Baggett, RRT
• Annie F Bailey, PA-C
• Jennifer Bakar, M.D.
• Chelsee Baker, LMSW

• Acute Care Nurse Practitioner in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.

Verify at the official NPI Registry.