Active NPI
Amy K Nielsen, D.O.
- Surgery Physician
- Escanaba, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5101025626
- Practice address
- 2525 5TH Ave S
Escanaba, MI 49829 - Phone
- (906) 233-4190
- Fax
- (906) 789-3479
- NPI assigned
- Mar 31, 2015
- Last updated
- Mar 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101025626 | MI | Primary |
Addresses
Primary practice location
2525 5TH Ave S
Escanaba, MI 49829
Mailing address
2525 5TH Ave S
Escanaba, MI 49829
Phone (906) 233-4190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356736995 | Medicaid | MI |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 W Ice Lake Rd
Iron River, MI 49935-9526
Phone (906) 265-6121
814 S Ice Lake Rd
Aspirus Iron River Clinic
Iron River, MI 49935-9481
Phone (906) 265-0499
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101025626 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
2525 5th Ave S
Escanaba, MI 49829
Phone (906) 233-4276
3409 Ludington St
Ste 206
Escanaba, MI 49829
Phone (906) 786-7471
1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201
1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121
814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100
Interoperability endpoints
- amynielsen@normd.allscriptsdirect.net
- anielsen213957@direct.aspirus.org
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.
-
dba Aspirus Iron River Hospital
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
-
- Critical Access Hospital
- Ironwood, MI
- NPI 1649297342
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
-
dba Aspirus Iron River Clinic
- Rural Health Clinic/Center
- Iron River, MI
- NPI 1306344783
-
dba Aspirus Palliative Medicine - Michigan
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ironwood, MI
- NPI 1609743590
-
dba Aspirus Ontonagon Clinic
- Rural Health Clinic/Center
- Ontonagon, MI
- NPI 1023161932
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aspirus Iron River Clinic
- Multi-Specialty Clinic/Center
- Iron River, MI
- NPI 1457865198
Hospital
-
dba Aspirus Iron River Hospital
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1356736995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 5TH AVE S",
"city": "ESCANABA",
"state": "MI",
"postal_code": "49829",
"telephone_number": "906-233-4190",
"fax_number": "906-789-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 5TH AVE S",
"city": "ESCANABA",
"state": "MI",
"postal_code": "49829",
"telephone_number": "906-233-4190",
"fax_number": "906-789-3479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "AMY",
"middle_name": "K",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101025626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356736995",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.