Tonya Faith Allendorfer
Individual provider Active NPI Family Nurse Practitioner · Lapeer, MI
NPI 1326657388 · NPPES record last updated Jul 28, 2020
Key facts
- NPI
- 1326657388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704216247 (MI)
- Practice address
- 1075 Suncrest Dr
Lapeer, MI 48446-4403 - Phone
- (810) 667-7333
- Fax
- (810) 660-8133
- NPI assigned
- Jul 27, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ashraf Mostafa MD PLLC
Practice addresses (Care Compare)
1257 N Main St
Lapeer, MI 48446-1346
Phone (810) 969-4040
Hospital & facility affiliations
- McLaren Lapeer Region
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201001001095 | MI | Practitioner - Nurse Practitioner | 1658790274 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704216247 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart & Vascular Institute of Mi P.C. | Current |
Accepting new patients | |
| Ashraf Mostafa MD PLLC | Current |
Accepting new patients |
Locations
2342 Stonebridge Dr
Bldg H
Flint, MI 48532
Phone (810) 667-7333
2340 Stonebridge Dr
Bldg H
Flint, MI 48532
Phone (810) 667-7333
G1071 N Ballenger Hwy
Ste 311
Flint, MI 48504
Phone (810) 221-7057
1257 N Main St
Lapeer, MI 48446
Phone (810) 664-4526
1075 Suncrest Dr
Lapeer, MI 48446
Phone (810) 245-9700
1075 Suncrest Dr
Ste C
Lapeer, MI 48446
Phone (810) 538-2015
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIADDD/Endpoint/JIADDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704216247 | MI | Yes |
Addresses
Primary practice location
1075 Suncrest Dr
Lapeer, MI 48446-4403
Mailing address
4320 Catlin Rd
Columbiaville, MI 48421-8738
Phone (810) 656-6533
Other providers in Lapeer, MI
- Abdul Kadar Alawwa
- Carrie Nicole Aldrich
- Adam Alexander
- Belle Allen
- Lisa Marie Allen
- Athear M. Alrawi
- Jenny Amante
- Carolyn J Anderson
- Andrew G. Aretakis, D.D.S,P.C.
- Ashley Andrews
All providers in Lapeer, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.