Individual provider Active NPI

Allyssa C Sweers, DNP, FNP-C

  • Family Nurse Practitioner
  • Lanse, MI
National Provider Identifier
1619689908
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704324808 Issued in MI
Practice address
18341 US Highway 41
Lanse, MI 49946-8024
Phone
(906) 524-3300
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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 4704324808 MI Primary

Addresses

Primary practice location

18341 US Highway 41
Lanse, MI 49946-8024

Mailing address

18341 US Highway 41
Lanse, MI 49946-8024
Phone (906) 524-3300

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
I20230907003579 MI Practitioner - Nurse Practitioner 3375907496 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704324808MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baraga County Memorial Hospital CurrentSince Sep 1, 2023 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Baraga County Memorial Hospital CurrentSince Sep 1, 2023 Accepting new patients

Locations

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1619689908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18341 US HIGHWAY 41",
            "city": "LANSE",
            "state": "MI",
            "postal_code": "499468024",
            "telephone_number": "906-524-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18341 US HIGHWAY 41",
            "city": "LANSE",
            "state": "MI",
            "postal_code": "499468024",
            "telephone_number": "906-524-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEERS",
        "first_name": "ALLYSSA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704324808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanse, MI

Sources for this page

Verify at the official NPI Registry.