Amanda Thelen

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4704297098 Issued in MI

Practice address

405 W Greenlawn Ave Ste 230
Lansing, MI 48910-0812

Phone

(517) 485-8217

NPI assigned

Jul 12, 2018

Last updated

Jul 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ingham Nephrology and Hypertension PCGroup PAC ID 6800119637, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Ingham Nephrology and Hypertension PC

  • Nephrology Physician
  • Lansing, MI
  • NPI 1588066054
  Medicare reassignment Care Compare group NPD
• Michael R Hourani MD PC

  • Nephrology Physician
  • Lansing, MI
  • NPI 1922021930
  NPD (past)

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1568948537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W GREENLAWN AVE STE 230",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GREENLAWN AVE STE 230",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100812",
            "telephone_number": "517-485-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELEN",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4704297098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Inspirational Center, LLC. (Michigan Homecare Solutions and/or Michigan Career Solutions)
• The Physical Therapy Connection, Inc.
• The Young Men's Christian Association of Lansing, Michigan (YMCA of Metropolitan Lansing)
• Olivia Jane Theis
• Alex Thelen, PT
• Audrey Thelen, COTA/L
• Christopher Daniel Thelen, PHARMACY TECH
• Janina Krystyna Thelen
• Kelsey Arver Thelen, FNP, PMHNP
• Theo Pediatric Health

• Nephrology Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.