Individual provider Active NPI

Nathaniel Lambie

  • Medical Physician Assistant
  • Plymouth, MI
National Provider Identifier
1174092662
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601009611 Issued in MI
Practice address
1498 S Sheldon Rd
Plymouth, MI 48170-2140
Phone
(734) 927-5335
NPI assigned
Nov 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601009611 MI Primary

Addresses

Primary practice location

1498 S Sheldon Rd
Plymouth, MI 48170-2140

Mailing address

1587 Cedar Knoll LN
Caro, MI 48723-8925

Other practice location 1

1280 East Campus Drive
Central Michigan University
Mount Pleasant, MI 48858
Phone (989) 395-3032

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
I20220527001948 MI Practitioner - Physician Assistant 5092193342 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Urgent Care Walk in Clinic JacksonGroup PAC ID 5395102545, 3 clinicians
Plymouth Urgent Care Walk-in Clinic LLCGroup PAC ID 6709133135, 6 clinicians

Practice addresses (Care Compare)

1055 Laurence Ave
Jackson, MI 49202-2964
Phone (517) 273-4343

1498 S Sheldon Rd
Plymouth, MI 48170-2140
Phone (734) 927-5335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601009611MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Primary Care Clinic CurrentSince Feb 2, 2026 Accepting new patients

Locations

1055 Laurence Ave
Jackson, MI 49202
Phone (517) 273-4343

1498 S Sheldon Rd
Plymouth, MI 48170
Phone (734) 890-4627

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1174092662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 CEDAR KNOLL LN",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487238925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 S SHELDON RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702140",
            "telephone_number": "734-927-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 East Campus Drive",
            "address_2": "Central Michigan University",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "48858",
            "country_code": "US",
            "telephone_number": "989-395-3032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBIE",
        "first_name": "NATHANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-14",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601009611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.