Individual provider Active NPI

Amy B Janofski, RN, FNP

  • Nurse Practitioner
  • Shepherd, MI
National Provider Identifier
1427654516
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704235227 Issued in MI
Practice address
322 E Wright Ave
Shepherd, MI 48883-9375
Phone
(989) 828-8135
NPI assigned
Dec 5, 2020
Last updated
Jan 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704235227 MI Primary
Emergency Registered Nurse 163WE0003X 4704235227 MI

Addresses

Primary practice location

322 E Wright Ave
Shepherd, MI 48883-9375

Mailing address

8605 E Lake Montcalm Rd
Vestaburg, MI 48891-9700
Phone (989) 954-9847

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218002250 MI Practitioner - Nurse Practitioner 5294140588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweetwater Medical CenterGroup PAC ID 7113286378, 2 clinicians

Practice addresses (Care Compare)

322 E Wright Ave
Shepherd, MI 48883-9375
Phone (989) 828-4614

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetwater Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Jeffrey a. Khabir, MD, PLLC CurrentSince Oct 7, 2021 Accepting new patients

Locations

211 S Crapo St
Mt Pleasant, MI 48858
Phone (989) 684-4400

322 E Wright Ave
Shepherd, MI 48883
Phone (989) 828-4614

Interoperability endpoints

  • Direct secure messaging: ajjanofski@sweetwatermedicalcenter.kareodirect.com
  • Direct secure messaging: amy.janofski.1@31748.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1427654516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 E LAKE MONTCALM RD",
            "city": "VESTABURG",
            "state": "MI",
            "postal_code": "488919700",
            "telephone_number": "989-954-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E WRIGHT AVE",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "488839375",
            "telephone_number": "989-828-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOFSKI",
        "first_name": "AMY",
        "middle_name": "B",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-05",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704235227",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MI",
            "license": "4704235227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherd, MI

Sources for this page

Verify at the official NPI Registry.