Individual provider Active NPI

Ashley A Groters, NP

  • Nurse Practitioner
  • Gaylord, MI
National Provider Identifier
1225660285
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704271300 Issued in MI
Practice address
652 N Otsego Ave
Gaylord, MI 49735-2502
Phone
(989) 732-3529
Fax
(989) 732-7865
NPI assigned
Feb 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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 4704271300 MI Primary

Addresses

Primary practice location

652 N Otsego Ave
Gaylord, MI 49735-2502

Mailing address

652 N Otsego Ave
Gaylord, MI 49735-2502
Phone (989) 732-3529

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
I20200226000224 MI Practitioner - Nurse Practitioner 6507293859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Family Medicine PLCGroup PAC ID 7214999770, 2 clinicians

Practice addresses (Care Compare)

652 N Otsego Ave
Gaylord, MI 49735-2502
Phone (989) 732-3529

Hospital & facility affiliations

  • Munson Home Care Home health agency, Traverse City, MI, CCN 237025
  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704271300MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Family Medicine PLC CurrentSince Oct 2, 2023 Accepting new patients

Locations

652 N Otsego Ave
Gaylord, MI 49735
Phone (989) 732-3529

Organizations & group practices 1

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.

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": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1225660285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 N OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497352502",
            "telephone_number": "989-732-3529",
            "fax_number": "989-732-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 N OTSEGO AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497352502",
            "telephone_number": "989-732-3529",
            "fax_number": "989-732-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTERS",
        "first_name": "ASHLEY",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704271300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.