Individual provider Active NPI

Amber Ristow, FNP

  • Family Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1801361407
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704289713 Issued in MI
Practice address
1719 S Garfield Ave
Traverse City, MI 49686-4337
Phone
(231) 935-0799
NPI assigned
Oct 10, 2018
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704289713 MI Primary

Addresses

Primary practice location

1719 S Garfield Ave
Traverse City, MI 49686-4337

Mailing address

1719 S Garfield Ave
Traverse City, MI 49686-4337
Phone (231) 935-0799

Other practice location 1

3074 N US 31 S
Traverse City, MI 49684-4533
Phone (231) 929-1234

Other practice location 2

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8686

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
I20181206000458 MI Practitioner - Nurse Practitioner 9335483072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

3074 N US 31
Traverse City, MI 49684-4533
Phone (231) 929-1234

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Dec 10, 2024 Accepting new patients
Munson Medical Center Current Accepting new patients
Traverse Health Clinic and Coalition Current Accepting new patients
Munson Medical Center CurrentSince Dec 10, 2024 Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

1719 S Garfield Ave
Traverse City, MI 49686
Phone (231) 642-5938

3074 US 31 S
Traverse City, MI 49684
Phone (231) 642-5419

550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600

Interoperability endpoints

  • Direct secure messaging: amber.ristow@thcc.eclinicaldirectplus.com

Organizations & group practices 5

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": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1801361407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864337",
            "telephone_number": "231-935-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864337",
            "telephone_number": "231-935-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3074 N US 31 S",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496844533",
            "country_code": "US",
            "telephone_number": "231-929-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Munson Ave",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863580",
            "country_code": "US",
            "telephone_number": "231-935-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISTOW",
        "first_name": "AMBER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704289713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.