Individual provider Active NPI

Amy E Denkins, APRN-FNP

  • Primary Care Nurse Practitioner
  • Adrian, MI
National Provider Identifier
1174176275
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704237661 Issued in MI
Practice address
901 Kimole LN Ste A4
Adrian, MI 49221-1491
Phone
(517) 265-0680
NPI assigned
Jul 18, 2019
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704237661 MI Primary

Addresses

Primary practice location

901 Kimole LN Ste A4
Adrian, MI 49221-1491

Mailing address

20324 Deerfield Rd
Deerfield, MI 49238-9626
Phone (419) 346-4986

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akern92579@epicdirect.promedica.org

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
I20200401000336 MI Practitioner - Nurse Practitioner 3971932674 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Michigan, PLLC CurrentSince Mar 9, 2024 Accepting new patients
Promedica Central Corporation of Michigan CurrentSince Apr 1, 2020 Accepting new patients

Locations

781 Lakeshire Trl
Adrian, MI 49221
Phone (517) 263-2187

818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711

901 Kimole Ln
Ste A4
Adrian, MI 49221
Phone (517) 263-6140

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1174176275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20324 DEERFIELD RD",
            "city": "DEERFIELD",
            "state": "MI",
            "postal_code": "492389626",
            "telephone_number": "419-346-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 KIMOLE LN STE A4",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211491",
            "telephone_number": "517-265-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENKINS",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2023-11-03",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704237661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akern92579@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.