Individual provider Active NPI

Allison L Pyc, FNP-C

  • Family Nurse Practitioner
  • Troy, MI
National Provider Identifier
1487130985
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704293878 Issued in MI
Practice address
1639 E Big Beaver Rd Ste 103
Troy, MI 48083-2053
Phone
(248) 289-7300
Fax
(248) 289-7301
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704293878 MI Primary

Addresses

Primary practice location

1639 E Big Beaver Rd Ste 103
Troy, MI 48083-2053

Mailing address

1639 E Big Beaver Rd Ste 103
Troy, MI 48083-2053
Phone (248) 289-7300

Other identifiers 1

IdentifierTypeStateIssuer
1437161437MedicaidMI

Other names 1

  • Allison L Dinsmore Former name

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
I20181208000157 MI Practitioner - Nurse Practitioner 5799029369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew Compton MD PCGroup PAC ID 5991100976, 2 clinicians

Practice addresses (Care Compare)

1639 E Big Beaver Rd
Suite 103
Troy, MI 48083-2053
Phone (248) 289-7300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704293878MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Compton, MD, PC CurrentSince Jan 15, 2022 Accepting new patients

Locations

1639 E Big Beaver Rd
Ste 103
Troy, MI 48083
Phone (248) 289-7300

Interoperability endpoints

  • Direct secure messaging: allisonpyc@epicpc.allscriptsdirect.net
  • Direct secure messaging: apyc4078157@direct.trinity-health.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1487130985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 E BIG BEAVER RD STE 103",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832053",
            "telephone_number": "248-289-7300",
            "fax_number": "248-289-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 E BIG BEAVER RD STE 103",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832053",
            "telephone_number": "248-289-7300",
            "fax_number": "248-289-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYC",
        "first_name": "ALLISON",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704293878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437161437",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "DINSMORE",
            "middle_name": "L",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.