Individual provider Active NPI

Amanda Noel Sobczak, FNP-C

  • Nurse Practitioner
  • Bay City, MI
National Provider Identifier
1184304917
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704233197 Issued in MI
Practice address
3250 E Midland Rd
Bay City, MI 48706-2835
Phone
(989) 225-8983
NPI assigned
Jul 18, 2023
Last updated
Feb 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704233197 MI Primary

Addresses

Primary practice location

3250 E Midland Rd
Bay City, MI 48706-2835

Mailing address

522 Orchard St
Standish, MI 48658-9164
Phone (989) 737-0461

Other practice location 1

4401 Campus Ridge Dr
Midland, MI 48640-6112
Phone (989) 839-1386

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
I20230829000486 MI Practitioner - Nurse Practitioner 9931562626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

4100 Campus Ridge Dr
Midland, MI 48640-6139
Phone (989) 839-1795

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704233197MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Feb 6, 2025 Accepting new patients
Total Kidney Care CurrentSince Aug 24, 2023 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Feb 6, 2025 Accepting new patients

Locations

200 S Wenona St
Bay City, MI 48706
Phone (989) 892-6587

200 S Wenona St
Ste 105
Bay City, MI 48706

3250 E Midland Rd
Bay City, MI 48706
Phone (989) 667-6802

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4100 Campus Ridge Dr
Midland, MI 48640
Phone (989) 839-1386

4401 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9280

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

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

Hospital & facility affiliations 6

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1184304917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 ORCHARD ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589164",
            "telephone_number": "989-737-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 E MIDLAND RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062835",
            "telephone_number": "989-225-8983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Campus Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486406112",
            "country_code": "US",
            "telephone_number": "989-839-1386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBCZAK",
        "first_name": "AMANDA",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704233197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.