Amanda Lynn Allen, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Lake Orion, MI
NPI 1821453218 · NPPES record last updated Aug 13, 2020
Key facts
- NPI
- 1821453218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704231602 (MI)
- Practice address
- 3079 S Baldwin Rd Ste 1076
Lake Orion, MI 48359-1028 - Phone
- (989) 465-7361
- Fax
- (989) 372-8659
- NPI assigned
- Dec 29, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160303002563 | MI | Practitioner - Nurse Practitioner | 5698071405 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, P.C. | Current |
Accepting new patients | |
| Hometown Urgent Care of Michigan, PC | Current |
Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients |
Locations
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704231602 | MI | Yes |
Addresses
Primary practice location
3079 S Baldwin Rd Ste 1076
Lake Orion, MI 48359-1028
Mailing address
3079 S Baldwin Rd Ste 1076
Lake Orion, MI 48359-1028
Phone (989) 465-7361
Other practice location 1
205 S Bradley Hwy
Rogers City, MI 49779-2137
Phone (989) 734-2052
Other providers in Lake Orion, MI
- Sarah Bizzu Ageno
- Akia Agurs
- Areeb Ahmad
- Tasneem Ahmed
- Hussain Ali
- Allergy & Asthma Treatment Center, PLC
- Kent Allion
- Amnuay Singhakowinta MD PC
- Madison Charlie Amy
- Lauren Howell Anderson
All providers in Lake Orion, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.