Amalia Michailuk, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704326485 Issued in MI

Practice address

136 Kissane Ave
Brighton, MI 48116-2467

Phone

(810) 229-7337

NPI assigned

Oct 18, 2021

Last updated

Dec 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Open Arms Hospice, Inc.

  • Community Based Hospice Care Agency
  • Novi, MI
  • NPI 1881110815
  Medicare reassignment NPD
• Open Arms Home Health Inc

  • Home Health Agency
  • Novi, MI
  • NPI 1124982020
  NPD
• Bipin Desai MD

  dba Livingston Pediatric Center

  • Pediatrics Physician
  • Brighton, MI
  • NPI 1467828343
  NPD (past)
• Livingston Pediatric Center P.C.

  • Pediatrics Physician
  • Brighton, MI
  • NPI 1124970702
  NPD (past)

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1164185047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 KISSANE AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 KISSANE AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162467",
            "telephone_number": "810-229-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAILUK",
        "first_name": "AMALIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704326485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MHC Mi, LLC (Haven Home Health Care)
• Mi Agency Home Care
• Mi HHA Venture, LLC (Haven Home Health Care)
• Michael Page, DDS, PC
• Alexis B. Michaels, M.D.
• Kevin Michael Michalak, D.C
• Eva Marie Michals, PA-C
• Kathryn Grace Michels, M.D.
• Michigan Attendant Care Network LLC
• Michigan Institute (Missi LLC)

• Family Nurse Practitioner in Brighton, MI
• Providers in Brighton, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.