Individual provider Active NPI

Andrea Lynn Pekarek, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1700387784
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704273821 Issued in MI
Practice address
122 S Main St Ste 215
Ann Arbor, MI 48104-1940
Phone
(734) 249-8164
Fax
(734) 503-6056
NPI assigned
Feb 23, 2018
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18053090237 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704273821 MI Primary

Addresses

Primary practice location

122 S Main St Ste 215
Ann Arbor, MI 48104-1940

Mailing address

122 S Main St Ste 215
Ann Arbor, MI 48104-1940
Phone (734) 249-8164

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
I20180817001163 MI Practitioner - Nurse Practitioner 2466701842 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Motivation LLCGroup PAC ID 8729463906, 7 clinicians
Supportive Care I of Michigan PCGroup PAC ID 9638554298, 19 clinicians

Practice addresses (Care Compare)

122 S Main St
Suite 215
Ann Arbor, MI 48104-1940
Phone (734) 330-9136

330 Lincoln Ave
Iron River, MI 49935-8452
Phone (718) 298-4375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18053090237MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apmh LLC Psychiatric/Mental Health Current Accepting new patients
My Motivation LLC CurrentSince Apr 22, 2025 Accepting new patients
Michigan Healthcare Professionals PC Family Medicine CurrentSince Jul 10, 2019 Accepting new patients
Supportive Care I of Michigan PC CurrentSince Apr 15, 2025 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jul 10, 2019 Accepting new patients

Locations

122 S Main St
Ste 215
Ann Arbor, MI 48104
Phone (734) 249-8164

19725 Allen Rd
Ste 101
Brownstown Twp, MI 48183
Phone (734) 467-2371

19727 Allen Rd
Ste 12
Brownstown Twp, MI 48183
Phone (734) 479-2447

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

330 Lincoln Ave
Iron River, MI 49935
Phone (810) 445-5300

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1700387784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST STE 215",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041940",
            "telephone_number": "734-249-8164",
            "fax_number": "734-503-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST STE 215",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041940",
            "telephone_number": "734-249-8164",
            "fax_number": "734-503-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKAREK",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "18053090237",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704273821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.