Individual provider Active NPI

Amanda Gahsman, FNP-C

  • Family Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1558747493
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704225407 Issued in MI
Practice address
2900 Hannah Blvd
Suite 114
East Lansing, MI 48823-5384
Phone
(517) 364-8080
Fax
(517) 364-8088
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704225407 MI Primary

Addresses

Primary practice location

2900 Hannah Blvd
Suite 114
East Lansing, MI 48823-5384

Mailing address

2900 Hannah Blvd
Suite 114
East Lansing, MI 48823-5384
Phone (517) 364-8080

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
I20150903001889 MI Practitioner - Nurse Practitioner 3779899836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 E Michigan Ave
445 Sparrow Lansing OB/GYN Associates
Lansing, MI 48912-1897
Phone (517) 364-5210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704225407MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Sep 1, 2015 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2900 Hannah Blvd
Ste B107
East Lansing, MI 48823
Phone (517) 364-3659

2900 Hannah Blvd
Ste 114
East Lansing, MI 48823
Phone (517) 364-8080

1200 E Michigan Ave
Ste 445
Lansing, MI 48912
Phone (517) 364-5210

1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710

1600 W Grand River Ave
Ste 1
Okemos, MI 48864
Phone (517) 381-6870

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.

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1558747493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HANNAH BLVD",
            "address_2": "SUITE 114",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235384",
            "telephone_number": "517-364-8080",
            "fax_number": "517-364-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HANNAH BLVD",
            "address_2": "SUITE 114",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235384",
            "telephone_number": "517-364-8080",
            "fax_number": "517-364-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAHSMAN",
        "first_name": "AMANDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704225407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.