Individual provider Active NPI

Andrew John Palmer

  • Acute Care Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1629555768
Registry record updated Jul 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704282614NSA18653 Issued in MI
Practice address
1200 E Michigan Ave Ste 415
Lansing, MI 48912-1858
Phone
(517) 484-2760
Fax
(517) 484-9370
NPI assigned
Jul 22, 2018
Last updated
Jul 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704282614NSA18653 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave Ste 415
Lansing, MI 48912-1858

Mailing address

1200 E Michigan Ave Ste 415
Lansing, MI 48912-1858
Phone (517) 484-2760

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
I20180910000037 MI Practitioner - Nurse Practitioner 8820348063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, shared by 20 NPIs, 698 clinicians

Practice addresses (Care Compare)

1215 E Michigan Ave
SMG Adult Critical Care
Lansing, MI 48912-1811
Phone (517) 364-4340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704282614NSA18653MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Dec 1, 2022 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Dec 1, 2022 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 15, 2025 Accepting new patients
Edward W Sparrow Hospital Association Current 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

1575 Ramblewood Dr
Ste 100
East Lansing, MI 48823
Phone (517) 364-3659

1140 E Michigan Ave
Ste 200
Lansing, MI 48912
Phone (517) 364-9400

1200 E Michigan Ave
Lansing, MI 48912
Phone (517) 267-2460

1200 E Michigan Ave
Ste 41
Lansing, MI 48912
Phone (517) 484-7497

1200 E Michigan Ave
Ste 415
Lansing, MI 48912
Phone (517) 484-2760

1200 E Michigan Ave
Ste 500
Lansing, MI 48912
Phone (517) 364-5123

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1215 E Michigan Ave
#C
Lansing, MI 48912
Phone (517) 364-2050

1215 E Michigan Ave
Fl 4
Lansing, MI 48912
Phone (517) 364-3480

Interoperability endpoints

  • Direct secure messaging: andrewpalmer@compass.allscriptsdirect.net
  • Direct secure messaging: apalmer57018@sparrowdirecthie.org

Organizations & group practices 6

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.

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": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532217600000",
    "number": "1629555768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 415",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121858",
            "telephone_number": "517-484-2760",
            "fax_number": "517-484-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 415",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121858",
            "telephone_number": "517-484-2760",
            "fax_number": "517-484-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-22",
        "last_updated": "2018-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704282614NSA18653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.