Individual provider Active NPI

Amy Amira Yousif

  • Family Nurse Practitioner
  • Warren, MI
National Provider Identifier
1487178174
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704282774 Issued in MI
Practice address
6501 East 11 Mile Rd BLDG 230, RM 134W
Warren, MI 48397-3852
Phone
(586) 282-5771
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 4704282774 MI Primary

Addresses

Primary practice location

6501 East 11 Mile Rd BLDG 230, RM 134W
Warren, MI 48397-3852

Mailing address

39281 Twenlow Dr
Clinton TWP, MI 48038-5706
Phone (248) 912-5091

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
I20171102003112 MI Practitioner - Nurse Practitioner 3870859150 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pelham Primary Care PC CurrentSince Oct 1, 2017 Accepting new patients

Locations

3815 Pelham St
Ste 5
Dearborn, MI 48124
Phone (313) 624-8400

3815 Pelham St
Dearborn, MI 48124
Phone (313) 429-0470

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1487178174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39281 TWENLOW DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385706",
            "telephone_number": "248-912-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 EAST 11 MILE RD BLDG 230, RM 134W",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "483973852",
            "telephone_number": "586-282-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSIF",
        "first_name": "AMY",
        "middle_name": "AMIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704282774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.