Individual provider Active NPI

Linda Carol Hammer, NP

  • Primary Care Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1770370223
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704254405 Issued in MI
Practice address
1551 Martin Luther King Jr St SE
Grand Rapids, MI 49506-8203
Phone
(616) 452-1568
NPI assigned
Apr 21, 2025
Last updated
May 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704254405 MI Primary

Addresses

Primary practice location

1551 Martin Luther King Jr St SE
Grand Rapids, MI 49506-8203

Mailing address

6581 Summer Shores Dr SE
Grand Rapids, MI 49548-7001
Phone (616) 430-3377

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
I20250611002041 MI Practitioner - Nurse Practitioner 8820508500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

1290 E Michigan Hwy
Roscommon, MI 48653-8757
Phone (248) 660-1220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704254405MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC CurrentSince Aug 28, 2025 Accepting new patients
Theoria Medical CurrentSince May 1, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

1551 Martin Luther King Jr St SE
Grand Rapids, MI 49506
Phone (616) 278-6520

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1290 E Michigan Hwy
Roscommon, MI 48653
Phone (989) 275-8936

33 Christian Ave
Concord, NH 03301
Phone (603) 224-5363

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1770370223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6581 SUMMER SHORES DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495487001",
            "telephone_number": "616-430-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 MARTIN LUTHER KING JR ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495068203",
            "telephone_number": "616-452-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "LINDA",
        "middle_name": "CAROL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704254405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.