Active NPI
Nicole Renee Abbgy, NP
- Adult Health Nurse Practitioner
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704224350
- Practice address
- 300 Lafayette Ave SE
Suite 3000
Grand Rapids, MI 49503-4692 - Phone
- (616) 685-6919
- NPI assigned
- Aug 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704224350 | MI | Primary |
Addresses
Primary practice location
300 Lafayette Ave SE
Suite 3000
Grand Rapids, MI 49503-4692
Mailing address
1900 44TH St SE
Kentwood, MI 49508-5008
Phone (616) 685-1808
Other practice location 1
235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone (616) 840-8000
Other names 1
- Renee Zerfas
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nabbgy107192@direct.covenanthealthcare.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 Baker St
FL 3
Muskegon, MI 49444-2157
Phone (231) 737-1335
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackley Community Care Center, Inc | Current | Accepting new patients | |
| Hackley Community Care Center Inc | Current | Accepting new patients |
Locations
1550 Clinton St
Muskegon, MI 49442
Phone (231) 733-6910
2700 Baker St
Fl 3
Muskegon Heights, MI 49444
Phone (231) 733-6607
2700 Baker St
Muskegon Hts, MI 49444
Phone (231) 737-8603
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1629066238
-
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1427787621
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1144774019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 44TH ST SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495085008",
"telephone_number": "616-685-1808",
"fax_number": "616-685-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LAFAYETTE AVE SE",
"address_2": "SUITE 3000",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034692",
"telephone_number": "616-685-6919"
}
],
"practiceLocations": [
{
"address_1": "235 Wealthy St SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495035247",
"country_code": "US",
"telephone_number": "616-840-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABBGY",
"first_name": "NICOLE",
"middle_name": "RENEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-09",
"last_updated": "2022-02-25",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704224350",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nabbgy107192@direct.covenanthealthcare.com",
"affiliation": "N",
"address_1": "235 Wealthy St SE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495035247",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RENEE",
"last_name": "ZERFAS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.