NPIMap

Individual provider Active NPI

Amber Goetz, NP

  • Family Nurse Practitioner
  • Drummond Island, MI
National Provider Identifier
1295186971
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704258308 Issued in MI
Practice address
33896 S Townline Road
Drummond Island, MI 49726
Phone
(906) 493-5221
Fax
(906) 493-5695
NPI assigned
Jun 24, 2016
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 4704258308 MI Primary

Addresses

Primary practice location

33896 S Townline Road
Drummond Island, MI 49726

Mailing address

33896 S Townline Road
Drummond Island, MI 49726-9504

Other practice location 1

500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822
Phone (190) 625-3102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808000192 MI Practitioner - Nurse Practitioner 8527352079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center SaultGroup PAC ID 7315936481, 101 clinicians

Practice addresses (Care Compare)

391 E M
134 Mymichigan Primary Care Cedarville
Cedarville, MI 49719-9451
Phone (906) 484-2295

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Primary Care Partners Current Accepting new patients
Mymichigan Medical Center Sault Current Accepting new patients
Mymichigan Medical Center Sault CurrentSince Apr 25, 2022 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 1, 2016 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Apr 25, 2022 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 1, 2016 Accepting new patients
Mymichigan Medical Center Sault Past Accepting new patients
True Women's Clinic of Grand Rapids, PC PastSince Sep 20, 2020 Accepting new patients

Locations

391 E M 134
Cedarville, MI 49719
Phone (906) 484-2295

33896 S Townline Rd
Drummond Island, MI 49726
Phone (906) 322-1815

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

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

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

Interoperability endpoints

  • Direct secure messaging: agoetz142385@mymichiganhealth.midirect.net

Organizations & group practices 9

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 4

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1295186971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33896 S TOWNLINE ROAD",
            "city": "DRUMMOND ISLAND",
            "state": "MI",
            "postal_code": "497269504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33896 S TOWNLINE ROAD",
            "city": "DRUMMOND ISLAND",
            "state": "MI",
            "postal_code": "49726",
            "telephone_number": "906-493-5221",
            "fax_number": "906-493-5695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Osborn Blvd",
            "address_purpose": "LOCATION",
            "city": "Sault Sainte Marie",
            "state": "MI",
            "postal_code": "497831822",
            "country_code": "US",
            "telephone_number": "190-625-3102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "AMBER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2023-08-08",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704258308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drummond Island, MI

Sources for this page

Verify at the official NPI Registry.