Individual provider Active NPI

Amber Rae Sprague-Rice

  • Family Nurse Practitioner
  • Charlotte, MI
National Provider Identifier
1235517574
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704287823 Issued in MI
Practice address
616 Meijer Dr
Charlotte, MI 48813-8376
Phone
(517) 543-7800
NPI assigned
May 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704287823 MI Primary

Addresses

Primary practice location

616 Meijer Dr
Charlotte, MI 48813-8376

Mailing address

616 Meijer Dr
Charlotte, MI 48813-8376

Other names 1

  • Amber Rae Fisher Other name

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
I20150929002180 MI Practitioner - Nurse Practitioner 4981912656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinton County Medical Center PCGroup PAC ID 8224923818, 27 clinicians
Outpatient Urgent Care HealthcenterGroup PAC ID 8729395132, 11 clinicians

Practice addresses (Care Compare)

1005 S US Hwy 27
Suite 100
Saint Johns, MI 48879-2423
Phone (989) 224-3000

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ambersprague-rice@ccmedc.allscriptsdirect.net
  • Direct secure messaging: amberspraguerice@compass.allscriptsdirect.net
  • Direct secure messaging: ambersprague-rice@ouchuc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clinton County Medical Center - Ferguson CampusCarson City, MI, CCN 238943 Rural health clinic 5% Or Greater Direct Ownership Interest (5%)
Operational/Managerial Control (5%)
Jul 1, 2017
Jul 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 2

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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1235517574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 MEIJER DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488138376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 MEIJER DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488138376",
            "telephone_number": "517-543-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE-RICE",
        "first_name": "AMBER",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704287823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "FISHER",
            "middle_name": "RAE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.