Active NPI
Amanda Radocy, NP-C
- Family Nurse Practitioner
- Gaylord, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704284612
- Practice address
- 825 N Center Ave
Gaylord, MI 49735-1592 - Phone
- (989) 731-2100
- Fax
- (801) 740-2847
- NPI assigned
- Jan 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704284612 | MI | Primary |
Addresses
Primary practice location
825 N Center Ave
Gaylord, MI 49735-1592
Mailing address
307 Liberty St
Alpena, MI 49707-3137
Phone (989) 619-1788
Other practice location 1
3860 S Straits Hwy
Indian River, MI 49749-5146
Phone (231) 238-0581
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-7390
602 Beech St
Clare, MI 48617-1466
Phone (989) 802-5117
825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
Locations
2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031
315 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 463-9300
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
1469 Mary Ct
Alma, MI 48801
Phone (989) 463-2150
1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
602 Beech St
Ste 2240
Clare, MI 48617
Phone (989) 629-8215
703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000
700 W 5th St
Clare, MI 48617
Phone (989) 386-9911
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
3040 Bourn St
Lewiston, MI 49756
Phone (989) 731-7777
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
555 W Wackerly St
Ste 3625
Midland, MI 48640
Phone (989) 832-4202
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
640 Court St
West Branch, MI 48661
Phone (989) 343-3730
Interoperability endpoints
- aradocy58758@mymichiganhealth.midirect.net
Organizations & group practices 24
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.
-
- Emergency Medicine Physician
- Charlevoix, MI
- NPI 1073295135
-
- Emergency Medicine Physician
- Alpena, MI
- NPI 1508332792
-
- General Practice Physician
- Clare, MI
- NPI 1134394026
-
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1164628426
-
- Endocrinology, Diabetes & Metabolism Physician
- Traverse City, MI
- NPI 1083761860
-
- Emergency Medicine Physician
- Alma, MI
- NPI 1568914422
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
Family Medicine
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
-
- Emergency Medicine Physician
- Traverse City, MI
- NPI 1073597944
-
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1093911364
-
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
-
- Family Medicine Physician
- Alma, MI
- NPI 1265596126
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
- Rural Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1619791431
-
- Rural Acute Care Hospital
- Alpena, MI
- NPI 1619914652
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
- General Acute Care Hospital
- Tawas City, MI
- NPI 1194713461
-
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1750911434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 LIBERTY ST",
"city": "ALPENA",
"state": "MI",
"postal_code": "497073137",
"telephone_number": "989-619-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N CENTER AVE",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351592",
"telephone_number": "989-731-2100",
"fax_number": "801-740-2847"
}
],
"practiceLocations": [
{
"address_1": "3860 S Straits Hwy",
"address_purpose": "LOCATION",
"city": "Indian River",
"state": "MI",
"postal_code": "497495146",
"country_code": "US",
"telephone_number": "231-238-0581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADOCY",
"first_name": "AMANDA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704284612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.