Individual provider Active NPI

Andrea Lieber, NP

  • Family Nurse Practitioner
  • Bay City, MI
National Provider Identifier
1659763399
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704276168 Issued in MI
Practice address
714 S Trumbull St
Bay City, MI 48708-4217
Phone
(989) 893-5541
NPI assigned
Mar 3, 2015
Last updated
Jun 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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 4704276168 MI Primary

Addresses

Primary practice location

714 S Trumbull St
Bay City, MI 48708-4217

Mailing address

714 S Trumbull St
Bay City, MI 48708-4217
Phone (989) 893-5541

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
I20150427001371 MI Practitioner - Nurse Practitioner 2365761269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Bay RegionGroup PAC ID 5597659011, 110 clinicians
Rau Physical Therapy IncGroup PAC ID 2365721339, 98 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3278

193 E Jefferson St
Frankenmuth, MI 48734-1935

4 Columbus Ave
Suite 380
Bay City, MI 48708-6476
Phone (989) 393-2700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Jun 29, 2018 Accepting new patients
McLaren Medical Group Nurse Practitioner CurrentSince Jun 29, 2018 Accepting new patients
McLaren Bay Region Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
McLaren Bay Region CurrentSince Jan 1, 2023 Accepting new patients
McLaren Bay Region Nurse Practitioner Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

4 Columbus Ave
Ste 380
Bay City, MI 48708
Phone (989) 377-4400

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

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 6

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": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1659763399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084217",
            "telephone_number": "989-893-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084217",
            "telephone_number": "989-893-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBER",
        "first_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704276168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.