Active NPI
Amber Lynn Perry, NP
- Family Nurse Practitioner
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704292176
- Practice address
- 26677 W 12 Mile Rd Ste 166
Southfield, MI 48034-1514 - Phone
- (313) 306-2023
- NPI assigned
- Nov 19, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704292176 | MI | Primary |
Addresses
Primary practice location
26677 W 12 Mile Rd Ste 166
Southfield, MI 48034-1514
Mailing address
8900 Briarwood Dr
Portland, MI 48875-1963
Phone (616) 633-2675
Other practice location 1
2682 E Grand River Ave
East Lansing, MI 48823-5608
Phone (517) 333-6562
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1004 E Michigan Ave
Lansing, MI 48912-1809
Phone (517) 364-9790
1015 Charlevoix Dr
Grand Ledge, MI 48837-2278
Phone (517) 627-0100
1451 Bronson Way
Kalamazoo, MI 49009-3306
Phone (833) 379-6863
2682 E Grand River Ave
East Lansing, MI 48823-5608
550 E Washington St
Ionia, MI 48846-2202
Phone (616) 523-1600
800 E Columbia St
Mason, MI 48854-1381
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704292176 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Family | Current | Accepting new patients |
| Sparrow Carson Hospital | Current | Accepting new patients | |
| SNF Wound Care | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308
616 Meijer Dr
Charlotte, MI 48813
Phone (517) 541-5935
2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352
1015 Charlevoix Dr
Grand Ledge, MI 48837
Phone (517) 627-0100
1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145
550 E Washington St
Fl 1
Ionia, MI 48846
3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000
1004 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-9790
1120 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-9777
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
Interoperability endpoints
- amperry@landmarkhealth-direct.org
Organizations & group practices 10
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.
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
-
- Internal Medicine Physician
- Carson City, MI
- NPI 1598490542
-
- Urgent Care Clinic/Center
- East Lansing, MI
- NPI 1477509313
-
- Rural Health Clinic/Center
- Carson City, MI
- NPI 1013987833
-
- Cardiovascular Disease Physician
- Carson City, MI
- NPI 1063245694
-
- Family Medicine Physician
- Ionia, MI
- NPI 1033271143
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lansing, MI
- NPI 1033162326
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1518624071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 BRIARWOOD DR",
"city": "PORTLAND",
"state": "MI",
"postal_code": "488751963",
"telephone_number": "616-633-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26677 W 12 MILE RD STE 166",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341514",
"telephone_number": "313-306-2023"
}
],
"practiceLocations": [
{
"address_1": "2682 E Grand River Ave",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488235608",
"country_code": "US",
"telephone_number": "517-333-6562",
"fax_number": "514-333-6563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "AMBER",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-19",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704292176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.