Amy L Komperda, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704166490 Issued in MI

Practice address

41850 W 11 Mile Rd Ste 202
Novi, MI 48375-1857

Phone

(248) 860-4634

Fax

(248) 282-5044

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Michigan Health-Sparrow Carson Hospital, Carson City, MI, CCN 230208

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Complexcare Medical Group Midwest H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1457144933
  Medicare reassignment Care Compare group NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375
  Medicare reassignment Care Compare group
• Theoria Medical

  • Internal Medicine Physician
  • Brighton, MI
  • NPI 1164186946

  Nurse Practitioner

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sparrow Carson Hospital

  • General Acute Care Hospital
  • Carson City, MI
  • NPI 1336103043
  Care Compare affiliation

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1720172000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41850 W 11 MILE RD STE 202",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751857",
            "telephone_number": "248-860-4634",
            "fax_number": "248-282-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41850 W 11 MILE RD STE 202",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751857",
            "telephone_number": "248-860-4634",
            "fax_number": "248-282-5044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9249 W Lake City Rd",
            "address_purpose": "LOCATION",
            "city": "Houghton Lake",
            "state": "MI",
            "postal_code": "486299602",
            "country_code": "US",
            "telephone_number": "989-422-5122",
            "fax_number": "989-422-4378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMPERDA",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704166490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Kohler
• Robert Matthew Koivunen, D.P.M.
• Ramachandra B Kolachalam, MD
• Joseph P Kolenc
• Kalyn Kollie
• Darryl Francis Kompus, DPM
• Lindsay Konal, OTR
• Jeffrey Kong, LMT, CFST
• Jeevananthan Koodalingam, PT
• Lauri Ann Kopchia

• Nurse Practitioner in Novi, MI
• Providers in Novi, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.