Amber Brissette, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704265626NSA18445 Issued in MI

Practice address

123 Lansing St Ste 2
Charlotte, MI 48813-1696

Phone

(517) 543-9500

NPI assigned

Apr 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sparrow Eaton HospitalGroup PAC ID 0042103509, shared by 4 NPIs, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ella E M Brown Charitable Circle

  • Psychiatry Physician
  • Marshall, MI
  • NPI 1366591794
  Medicare reassignment NPD
• Sparrow Eaton Hospital

  • Orthopaedic Surgery Physician
  • Charlotte, MI
  • NPI 1043419427
  Medicare reassignment NPD
• Sparrow Eaton Hospital

  • Critical Access Hospital
  • Charlotte, MI
  • NPI 1942254529
  Medicare reassignment NPD
• Ella E M Brown Charitable Circle

  • Diagnostic Radiology Physician
  • Marshall, MI
  • NPI 1043660467
  NPD
• Sparrow Eaton Hospital

  • School Nurse Practitioner
  • East Lansing, MI
  • NPI 1063227486
  NPD
• Sparrow Eaton Hospital

  • Adolescent Medicine (Family Medicine) Physician
  • Charlotte, MI
  • NPI 1760681159
  NPD
• Sparrow Eaton Hospital

  • Ambulance
  • Charlotte, MI
  • NPI 1093742249
  NPD (past)
• Sparrow Eaton Hospital

  • Anesthesiology Physician
  • Charlotte, MI
  • NPI 1548439110
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sparrow Eaton Hospital

  • Orthopaedic Surgery Physician
  • Charlotte, MI
  • NPI 1043419427

  Hospital

  Care Compare affiliation
• Sparrow Eaton Hospital

  • Ambulance
  • Charlotte, MI
  • NPI 1093742249

  Hospital

  Care Compare affiliation
• Sparrow Eaton Hospital

  • Critical Access Hospital
  • Charlotte, MI
  • NPI 1942254529
  Care Compare affiliation

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1255838538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LANSING ST STE 3B",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131696",
            "telephone_number": "517-541-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LANSING ST STE 2",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131696",
            "telephone_number": "517-543-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISSETTE",
        "first_name": "AMBER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704265626",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704265626NSA18445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN SPECIALTY CERTIFICATION NP",
            "identifier": "4704265626",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roselinde Alaine Boyne, MSN, APRN, FNP-C
• Jeannine M Brake-Norder, OD
• Catherine Brandau, F.N.P
• Madeline Elise Brcic, M.A., CCC-SLP
• Lina Breland, LLMSW
• Jacob Andrew Brown, PT, DPT
• Lori Brown
• Marcie Ann Brummette, LMT
• Chelsea Buchholz, PHARMD
• Heidi Lybb Burtchett

• Family Nurse Practitioner in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.