Individual provider Active NPI

Amy Popa, MSN-FNP

  • Family Nurse Practitioner
  • Cadillac, MI
National Provider Identifier
1164128807
Registry record updated Mar 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704237331 Issued in MI
Practice address
302 Hobart St
Cadillac, MI 49601-2379
Phone
(231) 876-2644
Fax
(231) 876-5106
NPI assigned
Feb 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 4704237331 MI Primary

Addresses

Primary practice location

302 Hobart St
Cadillac, MI 49601-2379

Mailing address

302 Hobart St
Cadillac, MI 49601-2379

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
I20230306002475 MI Practitioner - Nurse Practitioner 9931572336 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians
Caberfae Emergency Group PCGroup PAC ID 4082069232, 39 clinicians
Hawk Emergency Group, P.C.Group PAC ID 6800241050, 55 clinicians

Practice addresses (Care Compare)

302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-2644

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Cadillac CurrentSince Feb 16, 2023 Accepting new patients
Caberfae Emergency Group, P.C. CurrentSince Nov 1, 2023 Accepting new patients
Munson Healthcare Cadillac CurrentSince Feb 16, 2023 Accepting new patients
Munson Healthcare Cadillac Current Accepting new patients
Hawk Emergency Group, P.C. CurrentSince Nov 6, 2023 Accepting new patients

Locations

3782 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

302 Hobart St
Cadillac, MI 49601
Phone (231) 876-2644

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679702400000",
    "number": "1164128807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012379",
            "telephone_number": "231-876-2644",
            "fax_number": "231-876-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPA",
        "first_name": "AMY",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704237331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.