Individual provider Active NPI

Amy Jane Nowak

  • Nurse Practitioner
  • Alpena, MI
National Provider Identifier
1487306429
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704360802 Issued in MI
Practice address
460 Long Rapids PLZ
Alpena, MI 49707-1442
Phone
(989) 356-0141
NPI assigned
Jan 20, 2022
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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 4704360802 MI Primary
Registered Nurse 163W00000X 4704360802 MI

Addresses

Primary practice location

460 Long Rapids PLZ
Alpena, MI 49707-1442

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000

Other practice location 1

21258 M 68 Hwy
Onaway, MI 49765-9663
Phone (989) 733-2082

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
I20230615002239 MI Practitioner - Certified Clinical Nurse Specialist (CNS) 9436517984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thunder Bay Community Health Service IncGroup PAC ID 0143296772, shared by 11 NPIs, 39 clinicians
Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians

Practice addresses (Care Compare)

11899 M
Suite 32
Atlanta, MI 49709-9374
Phone (989) 785-4855

460 Long Rapids PLZ
Alpena, MI 49707-1442
Phone (989) 356-0141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704360802MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena CurrentSince Jan 1, 2026 Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients

Locations

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

460 Long Rapids Plz
Alpena, MI 49707
Phone (989) 356-0141

11899 M 32
Atlanta, MI 49709
Phone (989) 785-4855

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

21258 M 68 Hwy
Onaway, MI 49765
Phone (989) 733-2082

Organizations & group practices 3

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 5

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1487306429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 LONG RAPIDS PLZ",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071442",
            "telephone_number": "989-356-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21258 M 68 Hwy",
            "address_purpose": "LOCATION",
            "city": "Onaway",
            "state": "MI",
            "postal_code": "497659663",
            "country_code": "US",
            "telephone_number": "989-733-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "AMY",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704360802",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704360802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.