Amanda Mae Bachman, AG-ACNP
Individual provider Active NPI Acute Care Nurse Practitioner · Grand Blanc, MI
NPI 1104589373 · NPPES record last updated Jan 12, 2022
Key facts
- NPI
- 1104589373
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 4704228627 (MI)
- Practice address
- 7563 Paradise Dr
Grand Blanc, MI 48439-8598 - Phone
- (810) 422-3333
- NPI assigned
- Oct 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesys Practice Partners Inc
Henry Ford Health Providence Hospital
Practice addresses (Care Compare)
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
3399 Pollock Rd
Suite a
Grand Blanc, MI 48439-8395
Phone (810) 606-7550
Hospital & facility affiliations
- Ascension Genesys Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220113001270 | MI | Practitioner - Nurse Practitioner | 6709278237 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb-Oakland Hospital | Current |
Accepting new patients | |
| Genesys Practice Partners, Inc | Current |
Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current |
Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Current |
Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current |
Accepting new patients | |
| Henry Ford Health Providence Hospital | Nurse Practitioner | Current |
Accepting new patients |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Genesys Practice Partners Inc | Current | Accepting new patients | |
| Genesys Practice Partners Inc | Current |
Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current |
Accepting new patients | |
| Henry Ford Health Macomb Oakland Hospital | Past | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients |
Locations
1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413
1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629
1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600
3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550
3399 Pollock Rd
Grand Blanc, MI 48439
Phone (810) 603-0170
1 Genesys Pkwy
Ste 4620
Grand Blanc, MI 48439
Phone (810) 606-1460
27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
26850 Providence Pkwy
Ste 470
Novi, MI 48374
Phone (248) 319-3000
1135 W University Dr
Ste 230
Rochester Hls, MI 48307
Phone (248) 824-2630
3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353
1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
16001 W 9 Mile Rd
#3
Southfield, MI 48075
Phone (248) 384-9260
11900 E 12 Mile Rd
Ste 308
Warren, MI 48093
Phone (586) 574-5080
Interoperability endpoints
- amanda.bachman.1@11016.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704228627 | MI | Yes |
Addresses
Primary practice location
7563 Paradise Dr
Grand Blanc, MI 48439-8598
Mailing address
16001 W 9 Mile Rd # 3
Southfield, MI 48075-4818
Phone (248) 849-2600
Other practice location 1
1 Genesys Pkwy Ste 3452
Grand Blanc, MI 48439-8065
Phone (248) 849-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0310 | Medicaid | MI |
Other providers in Grand Blanc, MI
- Kristina Ayotte
- Melissa Mary Ayre
- Bala C Aysola
- Masharee Lashaun Babers
- Ashwin Babuji
- Badar Ahmed M.D., P.C.
- Janet Marie Baggett
- Annie F Bailey
- Jennifer Bakar
- Chelsee Baker
All providers in Grand Blanc, MI · Acute Care Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.