Individual provider Active NPI

Carmen G McAndrew, NP

  • Adult Health Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1770125130
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1770125130 Issued in MI
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 364-1000
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1770125130 MI Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4704289114 MI

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

10284 Rock Hollow LN
Dimondale, MI 48821-8757
Phone (616) 206-8341

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
I20191114000416 MI Practitioner - Nurse Practitioner 0244662104 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1140 E Michigan Ave
400 Sparrow Cardiovascular Surgeons
Lansing, MI 48912-1806
Phone (517) 364-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704289114MIMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
1770125130MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Clinton Hospital CurrentSince Oct 1, 2025 Accepting new patients
Sparrow Eaton Hospital CurrentSince Oct 1, 2025 Accepting new patients
Sparrow Ionia Hospital CurrentSince Oct 1, 2025 Accepting new patients
Sparrow Clinton Hospital CurrentSince Oct 1, 2025 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Edward W. Sparrow Hospital Association Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 1, 2019 Accepting new patients
Sparrow Eaton Hospital Current Accepting new patients
Sparrow Eaton Hospital CurrentSince Oct 1, 2025 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Edward W Sparrow Hospital Association Adult Health CurrentSince Nov 1, 2019 Accepting new patients
Sparrow Ionia Hospital CurrentSince Oct 1, 2025 Accepting new patients
Sparrow Carson Hospital CurrentSince Oct 1, 2025 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Clinton Hospital Current Accepting new patients
Sparrow Carson Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1140 E Michigan Ave
Ste 400
Lansing, MI 48912
Phone (517) 483-7550

1200 E Michigan Ave
Ste 500
Lansing, MI 48912
Phone (517) 364-5123

1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1140 E Michigan Ave
Ste 300
Lansing, MI 48912
Phone (517) 364-5200

300 Health Park Dr
Ste 301
Owosso, MI 48867
Phone (989) 723-3613

901 S Oakland St
Ste 101
Saint Johns, MI 48879
Phone (517) 332-4263

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

301 Williamston Center Rd
Williamston, MI 48895
Phone (517) 253-5125

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1770125130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10284 ROCK HOLLOW LN",
            "city": "DIMONDALE",
            "state": "MI",
            "postal_code": "488218757",
            "telephone_number": "616-206-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-364-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANDREW",
        "first_name": "CARMEN",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "1770125130",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4704289114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.