Individual provider Active NPI

Amy M Wulke, DNP-FNP

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1770170649
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704271791 Issued in MI
Practice address
812 Root St
Flint, MI 48503-1516
Phone
(810) 406-4932
Fax
(810) 820-2892
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704271791 MI
Family Nurse Practitioner 363LF0000X 4704271791 MI Primary

Addresses

Primary practice location

812 Root St
Flint, MI 48503-1516

Mailing address

225 E 5TH St Ste 300
Flint, MI 48502-1641
Phone (810) 406-4246

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
I20210218001632 MI Practitioner - Nurse Practitioner 5698180966 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Team Mental Health Services Inc. CurrentSince Jan 11, 2021 Accepting new patients
Flushing Urgent Care PLC CurrentSince Aug 1, 2021 Accepting new patients
Hamilton Community Health Network, Inc. CurrentSince Sep 11, 2024 Accepting new patients
Hamilton Community Health Network Inc. CurrentSince Sep 11, 2024 Accepting new patients
Team Wellness Center CurrentSince Jan 11, 2021 Accepting new patients
Raghad Lepley MD PC CurrentSince Jul 21, 2022 Accepting new patients

Locations

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

6309 Mack Ave
Detroit, MI 48207
Phone (313) 331-3435

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

3646 Mount Elliott St
Detroit, MI 48207
Phone (313) 626-2400

225 E 5th St
Ste 300
Flint, MI 48502
Phone (810) 406-4912

812 Root St
Fl 2
Flint, MI 48503
Phone (810) 406-4932

G3375 S Saginaw St
Flint, MI 48529
Phone (810) 743-6830

6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989

147 N Milford Rd
Ste 101
Highland, MI 48357
Phone (248) 887-3900

700 S Main St
Ste 101B
Lapeer, MI 48446
Phone (810) 720-1200

Interoperability endpoints

  • Direct secure messaging: amy.wulke.1@25862.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1770170649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 5TH ST STE 300",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021641",
            "telephone_number": "810-406-4246",
            "fax_number": "810-424-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 ROOT ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031516",
            "telephone_number": "810-406-4932",
            "fax_number": "810-820-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULKE",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "DNP-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704271791",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704271791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.