Organization Active NPI

North-Star Care of Michigan

  • Addiction Medicine (Internal Medicine) Physician
  • Fox Island, WA
National Provider Identifier
1144024332
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
NORTH-STAR CARE OF MICHIGAN
Practice address
1368 Pilchuck HTS
Fox Island, WA 98333-9660
Phone
(855) 302-9191
NPI assigned
Apr 4, 2025
Organization subpart
Yes
Parent organization
NORTH-STAR CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Amanda L Wilson, MD
Title
Ceo
Phone
(413) 221-6113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

1368 Pilchuck HTS
Fox Island, WA 98333-9660

Mailing address

1368 Pilchuck HTS
Fox Island, WA 98333-9660
Phone (855) 302-9191

National Provider Directory

National Provider Directory
Part of
North-Star Care

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1144024332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 PILCHUCK HTS",
            "city": "FOX ISLAND",
            "state": "WA",
            "postal_code": "983339660",
            "telephone_number": "855-302-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 PILCHUCK HTS",
            "city": "FOX ISLAND",
            "state": "WA",
            "postal_code": "983339660",
            "telephone_number": "855-302-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH-STAR CARE OF MICHIGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH-STAR CARE",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "413-221-6113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.