Amanda G Blades, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704330527 Issued in MI

Practice address

81 N I75 Business Loop
Grayling, MI 49738-7405

Phone

(989) 348-7400

Fax

(888) 821-5005

NPI assigned

Jul 6, 2021

Last updated

Aug 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

West Front Primary Care PLLCGroup PAC ID 4183514706, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.blades.p1@direct.wfpc.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• West Front Primary Care, P.L.L.C.

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1851490296
  Medicare reassignment Care Compare group NPD
• Ausable Medical Associates, PC

  • Family Nurse Practitioner
  • Grayling, MI
  • NPI 1689697930
  Medicare reassignment NPD
• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375
  Medicare reassignment NPD
• Ra2 PC

  • Family Medicine Physician
  • Grayling, MI
  • NPI 1063233492
  NPD
• West Front Primary Care, P.L.L.C.

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1356260814
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1497326045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 GREEN LAWN DR",
            "city": "GRAWN",
            "state": "MI",
            "postal_code": "496379666",
            "telephone_number": "231-357-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 N I75 BUSINESS LOOP",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497387405",
            "telephone_number": "989-348-7400",
            "fax_number": "888-821-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Green Lawn Dr",
            "address_purpose": "LOCATION",
            "city": "Grawn",
            "state": "MI",
            "postal_code": "496379666",
            "country_code": "US",
            "telephone_number": "231-357-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLADES",
        "first_name": "AMANDA",
        "middle_name": "G",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704330527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Katherine Behre, PT, DPT
• Jason Bennett, DO
• Chloe Biggs, PA-C
• Andrea Binert, RN
• Tanya Birdsall
• Jason Bont
• Autumn Book
• Clayton Scott Brasseur
• Brookcare Hospice Services, LLC
• Andrew P Brookes

• Family Nurse Practitioner in Grayling, MI
• Providers in Grayling, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.
• 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.

Verify at the official NPI Registry.