Individual provider Active NPI

Amanda Alice Smelker, MSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1194398255
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801109971 Issued in MI
Practice address
8088 Vineyard Pkwy
Kalamazoo, MI 49009-3892
Phone
(269) 286-7090
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801109971 MI Primary

Addresses

Primary practice location

8088 Vineyard Pkwy
Kalamazoo, MI 49009-3892

Mailing address

601 John St
BMH 39
Kalamazoo, MI 49007-5341
Phone (269) 341-6417

Other names 1

  • Amanda Alice Latimer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820000552 MI Practitioner - Clinical Social Worker 5092110635 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

601 John St
Suite 020
Kalamazoo, MI 49007-5381
Phone (269) 341-8282

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Lakeview Hospital CurrentSince Sep 13, 2021 Accepting new patients
Bronson Methodist Hospital CurrentSince Sep 13, 2021 Accepting new patients
Bronson South Haven Hospital CurrentSince Sep 13, 2021 Accepting new patients
Bronson South Haven Hospital CurrentSince Sep 13, 2021 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Sep 13, 2021 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Sep 13, 2021 Accepting new patients
Bronson Lakeview Hospital CurrentSince Sep 13, 2021 Accepting new patients

Locations

2900 Watkins Rd
Battle Creek, MI 49015
Phone (269) 245-5430

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
#39
Kalamazoo, MI 49007

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

8088 Vineyard Pkwy
Kalamazoo, MI 49009
Phone (269) 286-7090

601 John St
Ste M-020
Kalamazoo, MI 49007
Phone (269) 341-8282

212 Winston Dr
Marshall, MI 49068
Phone (269) 245-5460

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

451 Health Pkwy
Ste E
Paw Paw, MI 49079
Phone (269) 655-3090

451 Health Pkwy
Ste A
Paw Paw, MI 49079
Phone (269) 655-3065

2600 W Centre Ave
Portage, MI 49024
Phone (269) 324-4141

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

955 S Bailey Ave
South Haven, MI 49090
Phone (269) 637-5271

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 7

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1194398255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BMH 39",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-6417",
            "fax_number": "269-341-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8088 VINEYARD PKWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093892",
            "telephone_number": "269-286-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMELKER",
        "first_name": "AMANDA",
        "middle_name": "ALICE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LATIMER",
            "middle_name": "ALICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.