Individual provider Active NPI

Alyssa Huebner, FNP-C

  • Family Nurse Practitioner
  • Big Rapids, MI
National Provider Identifier
1548756844
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704329846 Issued in MI
Practice address
20095 Gilbert Rd Ste B
Big Rapids, MI 49307-2366
Phone
(231) 592-1360
Fax
(231) 592-1361
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704329846 MI Primary
Registered Nurse 163W00000X 4704329846 MI

Addresses

Primary practice location

20095 Gilbert Rd Ste B
Big Rapids, MI 49307-2366

Mailing address

20095 Gilbert Rd
Big Rapids, MI 49307-2365
Phone (231) 592-1360

Other practice location 1

8540 105th Ave
Stanwood, MI 49346-9764
Phone (231) 592-1360

Other names 1

  • Alyssa Nelson Former name

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
I20241004000861 MI Practitioner - Nurse Practitioner 6901337633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Primary Care Partners P CGroup PAC ID 8527044551, 21 clinicians

Practice addresses (Care Compare)

20095 Gilbert Rd
Suite B
Big Rapids, MI 49307-2366
Phone (231) 592-1360

Hospital & facility affiliations

  • Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093
  • Corewell Health Reed City Hospital Hospital, Reed City, MI, CCN 231323

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Primary Care Partners P C CurrentSince Nov 1, 2024 Accepting new patients

Locations

20095 Gilbert Rd
Big Rapids, MI 49307
Phone (231) 305-4095

20095 Gilbert Rd
Ste B
Big Rapids, MI 49307
Phone (231) 408-3208

8540 105th Ave
Stanwood, MI 49346
Phone (231) 972-2710

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17442/brand/2/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1548756844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20095 GILBERT RD",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072365",
            "telephone_number": "231-592-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20095 GILBERT RD STE B",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072366",
            "telephone_number": "231-592-1360",
            "fax_number": "231-592-1361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8540 105th Ave",
            "address_purpose": "LOCATION",
            "city": "Stanwood",
            "state": "MI",
            "postal_code": "493469764",
            "country_code": "US",
            "telephone_number": "231-592-1360",
            "fax_number": "231-592-1361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUEBNER",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704329846",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704329846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "NELSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.