Amy J Code, FNP
Individual provider Active NPI Family Nurse Practitioner · Atlanta, MI
NPI 1689192809 · NPPES record last updated Dec 5, 2018
Key facts
- NPI
- 1689192809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704311064 (MI)
- Practice address
- 11899 M 32
Atlanta, MI 49709-9374 - Phone
- (989) 785-4855
- Fax
- (989) 785-2267
- NPI assigned
- Sep 8, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thunder Bay Community Health Service Inc
Practice addresses (Care Compare)
11899 M
Suite 32
Atlanta, MI 49709-9374
Phone (989) 785-4855
Hospital & facility affiliations
- Mymichigan Medical Center Alpena
- Munson Healthcare Otsego Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170929001492 | MI | Practitioner - Nurse Practitioner | 1153696216 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thunder Bay Community Health Service, Inc | Current |
Accepting new patients | |
| Thunder Bay Community Health Service, Inc | Current |
Accepting new patients | |
| Thunder Bay Community Health Service, Inc | Past | Accepting new patients |
Locations
11899 M 32
Atlanta, MI 49709
Phone (989) 785-4855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704311064 | MI | Yes |
Addresses
Primary practice location
11899 M 32
Atlanta, MI 49709-9374
Mailing address
PO Box 427
Hillman, MI 49746-0427
Phone (989) 354-2197
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MI |
Other names
- Amy J Dziesinski
Other providers in Atlanta, MI
- Muhammad Abdelhai
- Shannon L. Avenall
- Michelle Balog
- Ellen A Buchler
- Joseph A Carlu
- Brenna E Cordes
- Allyson Coultes
- Stephanie Couture
- Emily F Hoffmeyer
- Deborah C Holberton
All providers in Atlanta, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.