Amy Elizabeth Tittle, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704233391 Issued in MI

Practice address

30775 Stephenson Hwy
Madison Heights, MI 48071-1618

Phone

(248) 733-9904

Fax

(248) 733-9906

NPI assigned

Jul 13, 2015

Last updated

Jul 13, 2015By 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 1

Addresses

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jagannathan Neurosurgical Institute PLLCGroup PAC ID 9638317373, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Bay Region Hospital, Bay City, MI, CCN 230041
• McLaren Oakland Hospital, Pontiac, MI, CCN 230207
• Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095

Merit-based Incentive Payment System (MIPS)

Final score

41.31 of 100Reported as group

Quality

42.97

Improvement activities

0

Cost

72.26

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Troy, MI
  • NPI 1356680912
  Medicare reassignment Care Compare group NPD
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Mt Pleasant, MI
  • NPI 1093521080
  NPD

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

• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226
  Care Compare affiliation
• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088
  Care Compare affiliation
• Mymichigan Medical Center West Branch

  dba MidMichigan Medical Center- West Branch

  • Family Medicine Physician
  • West Branch, MI
  • NPI 1518418292

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center West Branch

  • General Acute Care Hospital
  • West Branch, MI
  • NPI 1538566765
  Care Compare affiliation

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1366826976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30775 STEPHENSON HWY",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711618",
            "telephone_number": "248-733-9904",
            "fax_number": "248-733-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30775 STEPHENSON HWY",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711618",
            "telephone_number": "248-733-9904",
            "fax_number": "248-733-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITTLE",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704233391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas I King DPM PC
• Thomas J Hubbard OD PC
• Manju Joby Thomas
• Mincy Thomas
• Raven Thomas
• Elaine Brenda Toenniges, OTR/L
• Shannon Marie Tokarski, MS, RD
• Daniel Victor Tominello, D.C.
• Benjamin Andrew Tong, M.S., PA-C, EMT-P
• Top Choice Home Care Inc

• Adult Health Nurse Practitioner in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.