Individual provider Active NPI

Anne Marie Zuidema, GNP-C

  • Gerontology Nurse Practitioner
  • Grand Haven, MI
National Provider Identifier
1780630020
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704222044 Issued in MI
Practice address
1310 Wisconsin Ave
Suite 301
Grand Haven, MI 49417-2472
Phone
(616) 847-1860
Fax
(616) 844-4537
NPI assigned
May 26, 2006
Last updated
Feb 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704222044 MI Primary
Registered Nurse 163W00000X 4704222044 MI

Addresses

Primary practice location

1310 Wisconsin Ave
Suite 301
Grand Haven, MI 49417-2472

Mailing address

1310 Wisconsin Ave
Suite 101
Grand Haven, MI 49417-2472
Phone (616) 844-4528

Other identifiers 1

IdentifierTypeStateIssuer
4654030MedicaidMI

Other names 1

  • Anne Marie Bareman Former name

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
I20041130000045 MI Practitioner - Nurse Practitioner 6002871258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noch Physician Billing Company LLCGroup PAC ID 8527078583, 7 clinicians
Mercy Physician NetworkGroup PAC ID 8921996307, 109 clinicians

Practice addresses (Care Compare)

1061 S Beacon Blvd
100 Palliative Care
Grand Haven, MI 49417-2588
Phone (616) 846-2015

1150 E Sherman Blvd
Suite 1175
Muskegon, MI 49444-1885
Phone (231) 672-6740

1309 Sheldon Rd
Grand Haven, MI 49417-2404
Phone (616) 842-3600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Network CurrentSince Jul 20, 2018 Accepting new patients
Mercy Physician Network CurrentSince Jul 20, 2018 Accepting new patients
Noch Physician Billing Company LLC CurrentSince Mar 4, 2009 Accepting new patients

Locations

1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600

1310 Wisconsin St
Ste 301
Grand Haven, MI 49417
Phone (616) 296-1550

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1780630020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 WISCONSIN AVE",
            "address_2": "SUITE 101",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172472",
            "telephone_number": "616-844-4528",
            "fax_number": "616-847-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 WISCONSIN AVE",
            "address_2": "SUITE 301",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172472",
            "telephone_number": "616-847-1860",
            "fax_number": "616-844-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUIDEMA",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704222044",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704222044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4654030",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "BAREMAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.