Active NPI
Ambulatory Infusion Care-North Inc
- Home Infusion Therapy Pharmacy
- Gaylord, MI
National Provider Identifier
1447200159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 5301005584
- Legal business name
- AMBULATORY INFUSION CARE-NORTH INC
- Practice address
- 854 N Center Ave
Unit 1
Gaylord, MI 49735-1686 - Phone
- (989) 732-4879
- Fax
- (989) 731-0707
- NPI assigned
- May 11, 2006
- Last updated
- Feb 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jodie Lockman-Samkowiak, DNP, RN, CRNI
- Title
- VP
- Phone
- (989) 732-4879
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | 5301005584 | MI | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5301005584 | MI | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 5301005584 | MI | Primary |
Addresses
Primary practice location
854 N Center Ave
Unit 1
Gaylord, MI 49735-1686
Mailing address
854 N Center Ave Unit 1
Gaylord, MI 49735-1686
Phone (989) 732-4879
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3046513 | Medicaid | MI | |
| 0483990001 | Other | MI | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930077211 | MI | DME Supplier - Pharmacy | 9830217991 | Practice locations: Gaylord, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ambulatory Infusion Care-North Inc | Immunosuppressive Drugs|Infusion Drugs|External Infusion Pumps and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
854 N Center Ave
Unit 1
Gaylord, MI 49735
Phone (989) 732-4879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1447200159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 N CENTER AVE UNIT 1",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351686",
"telephone_number": "989-732-4879",
"fax_number": "989-731-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 N CENTER AVE",
"address_2": "UNIT 1",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351686",
"telephone_number": "989-732-4879",
"fax_number": "989-731-0707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULATORY INFUSION CARE-NORTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "LOCKMAN-SAMKOWIAK",
"authorized_official_first_name": "JODIE",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "989-732-4879",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DNP, RN, CRNI"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "MI",
"license": "5301005584",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "5301005584",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "MI",
"license": "5301005584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3046513",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0483990001",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.