Active NPI
Anne Wuerth, NP
- Nurse Practitioner
- Ann Arbor, MI
National Provider Identifier
1487649588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704141066
- Practice address
- 1500 East Medical Center Dr
8TH Floor CS Mott Childrens Hospital
Ann Arbor, MI 48109-4259 - Phone
- (734) 936-4185
- NPI assigned
- Sep 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Registered Nurse | 163WG0100X | 4704141066 | MI | |
| Nurse Practitioner | 363L00000X | 4704141066 | MI | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 4704141066 | MI |
Addresses
Primary practice location
1500 East Medical Center Dr
8TH Floor CS Mott Childrens Hospital
Ann Arbor, MI 48109-4259
Mailing address
3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20030884 | Other | CERTIFIED NURSE PRACTITIO | |
| 4583250 | Medicaid | MI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704141066 | MI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Current | Accepting new patients | |
| Regents of the University of Michigan | Nurse Practitioner | Current | Accepting new patients |
| Regents of the University of Michigan | Past | Accepting new patients |
Locations
1500 E Medical Center Dr
Fl 8
Ann Arbor, MI 48109
Phone (734) 763-4109
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
#700
Ann Arbor, MI 48108
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391558400000",
"number": "1487649588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DR",
"address_2": "8TH FLOOR CS MOTT CHILDRENS HOSPITAL",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481094259",
"telephone_number": "734-936-4185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUERTH",
"first_name": "ANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-14",
"last_updated": "2014-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gastroenterology",
"state": "MI",
"license": "4704141066",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704141066",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "4704141066",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED NURSE PRACTITIO",
"identifier": "20030884",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4583250",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.