Amber Smith, AGACNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704363587 Issued in MI

Practice address

695 Byron St
Plymouth, MI 48170-2256

Phone

(734) 787-3476

NPI assigned

Jan 18, 2025

Last updated

Jul 3, 2025By 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 2

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiorenal Vision of Michigan LLCGroup PAC ID 6709380447, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cardiorenal Vision of Michigan LLC

  • Cardiovascular Disease Physician
  • Novi, MI
  • NPI 1962397968
  Medicare reassignment Care Compare group NPD
• David Allen Crowl Jr.

  • Internal Medicine Physician
  • Northville, MI
  • NPI 1518642834
  NPD

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1528879483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 BYRON ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702256",
            "telephone_number": "734-787-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 BYRON ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702256",
            "telephone_number": "734-787-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMBER",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704363587",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704363587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Anne Smigielski, MS, BCBA
• Smiley Private Homecare LLC
• Smith Counseling Services PLLC
• Adonna Smith
• Allison Smith
• Barbara Rose Smith, M.S.W.
• Candace Smith
• Chad Smith
• Chloe Smith
• Danae Kennedy Smith

• Nurse Practitioner in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.