Angela R Harker-Bacchus, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704222689 Issued in MI

Practice address

1500 East Medical Center Drive
University Hospital
Ann Arbor, MI 48109-5364

Phone

(734) 888-2871

NPI assigned

Jul 10, 2006

Last updated

Dec 22, 2017By the provider in NPPES

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 8

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Clair Specialty Physicians PCGroup PAC ID 6204733256, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036
• Tawas St Joseph Hospital Hospital, Tawas City, MI, CCN 230100
• McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105
• Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angelaharker-bacchus@stclairspe.allscriptsdirect.net

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.

• St Clair Specialty Physicians PC

  dba St. Clair Nephrology, Idaho Nephrology Associates

  • Nephrology Physician
  • Roseville, MI
  • NPI 1154361616
  Medicare reassignment Care Compare group NPD
• Colorado Springs Nephrology

  • Nephrology Physician
  • Colorado Springs, CO
  • NPI 1376879254
  NPD (past)

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

• McLaren Northern Michigan

  • Psychiatric Hospital Unit
  • Cheboygan, MI
  • NPI 1336897735
  Care Compare affiliation
• McLaren Northern Michigan

  • General Acute Care Hospital
  • Petoskey, MI
  • NPI 1992812580
  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Rural Acute Care Hospital
  • Sault Sainte Marie, MI
  • NPI 1619791431
  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Rural Acute Care Hospital
  • Alpena, MI
  • NPI 1619914652
  Care Compare affiliation
• Mymichigan Medical Center Alpena

  • Internal Medicine Physician
  • Alpena, MI
  • NPI 1942302302

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Midland

  dba Family Practice Center

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1376973149
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1902841414
  Care Compare affiliation
• Mymichigan Medical Center Tawas

  • Internal Medicine Physician
  • Tawas City, MI
  • NPI 1003996679

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  dba Ascension St Joseph Hospital Internal Medicine Clinic

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1164410841

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  dba Ascension St Joseph Hospital

  • General Acute Care Hospital
  • Tawas City, MI
  • NPI 1194713461
  Care Compare affiliation
• Mymichigan Medical Center Tawas

  dba Ascension St Joseph Hospital AuGres Family Clinic

  • Rural Health Clinic/Center
  • Au Gres, MI
  • NPI 1326036153

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1346274727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 E 10 MILE RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663803",
            "telephone_number": "586-247-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DRIVE",
            "address_2": "UNIVERSITY HOSPITAL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095364",
            "telephone_number": "734-888-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKER-BACCHUS",
        "first_name": "ANGELA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704222689",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704222689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "5008776940",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN-COMMERCIAL",
            "identifier": "1038198",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN-MEDICAID",
            "identifier": "1038198",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4775320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH ADVANTAGE",
            "identifier": "1038198",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PLUS BLUE",
            "identifier": "0N55170011",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9160241",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00271409",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Hargrave, MA, LPC
• John K Hargrove, PMHNP
• Kyler Haring
• Batoul Harissa, MD
• Sheila Harkaway
• Deborah Alice Harlan, LLMSW
• Emily Harlan, MD
• Jessica L Harless, PHARM.D.
• Santine Harlock, D.D.S.
• Michael Harmon

• Nurse Practitioner in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.