Individual provider Active NPI

Amy Elizabeth Sanders, AGACNP-BC

  • Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1740750546
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704295691 Issued in MI
Practice address
145 Michigan St NE Ste 3100
Grand Rapids, MI 49503-2563
Phone
(616) 389-1800
Fax
(616) 389-1839
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704295691 MI Primary

Addresses

Primary practice location

145 Michigan St NE Ste 3100
Grand Rapids, MI 49503-2563

Mailing address

5800 Foremost Dr SE Ste 300
Grand Rapids, MI 49546-7062
Phone (616) 389-1561

Other practice location 1

4118 Kalamazoo Ave SE
Grand Rapids, MI 49508-3605
Phone (616) 455-7300

Other names 1

  • Amy Elizabeth Jansma Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190506000170 MI Practitioner - Nurse Practitioner 3375885742 Reassigns benefits to 2 organizations
I20260323002818 WI Practitioner - Nurse Practitioner 3375885742 Reassigns benefits to 1 organization

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
Lakeview Health Center PCGroup PAC ID 4082799655, 5 clinicians

Practice addresses (Care Compare)

4118 Kalamazoo Ave SE
Grand Rapids, MI 49508-3605
Phone (616) 455-7300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704295691MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners, PC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Lakeview Health Center PC CurrentSince Mar 26, 2019 Accepting new patients

Locations

2549 Momentum Pl
Chicago, IL 60689
Phone (269) 216-9852

3200 Greenfield Rd
Dearborn, MI 48120
Phone (313) 409-0846

4118 Kalamazoo Ave SE
Grand Rapids, MI 49508
Phone (616) 391-5700

570 Seminole Rd
Ste 20
Norton Shores, MI 49444
Phone (231) 759-5092

22 Century Blvd
Ste 310
Nashville, TN 37214
Phone (224) 278-3000

11414 W Park Pl
Ste 202
Milwaukee, WI 53224
Phone (414) 292-7060

Organizations & group practices 2

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.

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": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1740750546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FOREMOST DR SE STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467062",
            "telephone_number": "616-389-1561",
            "fax_number": "616-954-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MICHIGAN ST NE STE 3100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032563",
            "telephone_number": "616-389-1800",
            "fax_number": "616-389-1839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4118 Kalamazoo Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495083605",
            "country_code": "US",
            "telephone_number": "616-455-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704295691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "JANSMA",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.