Allison Amidon, NP
Individual provider Active NPI Nurse Practitioner · Grand Rapids, MI
NPI 1356749337 · NPPES record last updated Feb 24, 2021
Key facts
- NPI
- 1356749337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704273573 (MI)
- Practice address
- 25 Michigan St NE
Grand Rapids, MI 49503 - Phone
- (616) 267-9150
- NPI assigned
- Dec 8, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Rush Medical College of Rush University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spectrum Health Primary Care Partners
Practice addresses (Care Compare)
3271 Clear Vista CT NE
Corewell Health Medical Group West
Grand Rapids, MI 49525-9477
Phone (616) 267-7293
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 |
|---|---|---|---|---|
| I20150116000517 | MI | Practitioner - Nurse Practitioner | 8628392800 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Hospitals | Current |
Accepting new patients | |
| Spectrum Health Primary Care Partners | Current |
Accepting new patients | |
| Spectrum Health Hospitals | Current |
Accepting new patients | |
| Spectrum Health Primary Care Partners | Current |
Accepting new patients | |
| Pennock Hospital | Nurse Practitioner | Past | Accepting new patients |
Locations
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
25 Michigan St NE
Ste 4300
Grand Rapids, MI 49503
Phone (616) 267-9150
100 Michigan St NE
Fl 10
Grand Rapids, MI 49503
Phone (616) 267-1925
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
3271 Clear Vista Ct NE
Grand Rapids, MI 49525
Phone (616) 267-7125
25 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-0800
Interoperability endpoints
- aamidon86830@epic00.corewelldirect.org
- aamidon86830@epic00.shdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704273573 | MI | Yes |
Addresses
Primary practice location
25 Michigan St NE
Grand Rapids, MI 49503
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Other names
- Allison Steensma
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | aamidon86830@epic00.shdirect.org |
Other providers in Grand Rapids, MI
- American Hearing Centers, LLC
- American Integrated Care
- Nicholas Burton Ames
- Jesse R Amezaga
- Kelsey Amick
- Andrew Michael Amidon
- Rajvi Harshil Amin
- Kourosh B Amiri
- Soyaponga Providence Amisi II
- Lior Amitay Givol
All providers in Grand Rapids, MI · 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 Feb 24, 2021. 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.