Individual provider Active NPI

Amanda Leigh-Reynders Ezekiel, CNM

  • Advanced Practice Midwife
  • Grand Rapids, MI
National Provider Identifier
1437606670
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704295923 Issued in MI
Practice address
100 Michigan St NE # Mc027
Grand Rapids, MI 49503-2560
Phone
(616) 391-2160
NPI assigned
Sep 6, 2016
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704295923 MI Primary

Addresses

Primary practice location

100 Michigan St NE # Mc027
Grand Rapids, MI 49503-2560

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161209000718 MI Practitioner - Certified Nurse Midwife (CNM) 0547540569 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health HospitalsGroup PAC ID 8921904764, 161 clinicians
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 391-1774

100 Michigan St Northeast
Corewell Health Grand Rapids Hospit
Grand Rapids, MI 49503-2560
Phone (616) 391-1774

601 John St
N1200
Kalamazoo, MI 49007-5318
Phone (269) 341-7979

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
85.52
Promoting interoperability
100
Improvement activities
40
Cost
57.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
4704295923MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital CurrentSince Aug 28, 2022 Accepting new patients
Bronson South Haven Hospital CurrentSince Aug 28, 2022 Accepting new patients
Family Health Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Bronson South Haven Hospital CurrentSince Aug 28, 2022 Accepting new patients
Bronson Methodist Hospital CurrentSince Aug 28, 2022 Accepting new patients
Beacon Medical Group Michigan Inc CurrentSince Nov 21, 2016 Accepting new patients
Promed Healthcare CurrentSince Nov 21, 2016 Accepting new patients
Beacon Medical Group Michigan Inc Current Accepting new patients
Spectrum Health Hospitals CurrentSince Sep 1, 2022 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Aug 28, 2022 Accepting new patients
Family Health Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Spectrum Health Hospitals CurrentSince Sep 1, 2022 Accepting new patients

Locations

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

3238 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 979-6432

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

100 Michigan St NE
#20
Grand Rapids, MI 49503
Phone (616) 391-1751

100 Michigan St NE
#27
Grand Rapids, MI 49503
Phone (616) 391-2160

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

117 W Paterson St
Kalamazoo, MI 49007

1535 Gull Rd
Ste 250
Kalamazoo, MI 49048
Phone (269) 226-5927

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste N1200
Kalamazoo, MI 49007
Phone (269) 341-7887

212 Winston Dr
Marshall, MI 49068
Phone (269) 245-5460

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

955 S Bailey Ave
Ste 200
South Haven, MI 49090
Phone (269) 639-2720

Interoperability endpoints

  • Direct secure messaging: aezekiel637520@epic00.corewelldirect.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1437606670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC027",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-391-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEKIEL",
        "first_name": "AMANDA",
        "middle_name": "LEIGH-REYNDERS",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704295923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.