Individual provider Active NPI

Amanda A Kahl, NP

  • Acute Care Nurse Practitioner
  • Mussey, MI
National Provider Identifier
1821840091
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704338800NSA230VU Issued in MI
Practice address
4155 Miller Rd
Mussey, MI 48014-3313
Phone
(248) 930-6738
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704338800NSA230VU MI Primary

Addresses

Primary practice location

4155 Miller Rd
Mussey, MI 48014-3313

Mailing address

4155 Miller Rd
Mussey, MI 48014-3313
Phone (248) 930-6738

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
I20241015002576 MI Practitioner - Nurse Practitioner 4789116740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oakland Univ, William Beaumont School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

595 Barclay Cir
Rochester Hills, MI 48307-5802
Phone (248) 852-8020

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704338800NSA230VUMIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Sep 1, 2024 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

595 Barclay Cir
Rochester Hills, MI 48307
Phone (248) 852-8020

595 Barclay Cir
Ste A
Rochester Hills, MI 48307
Phone (248) 852-8020

4967 Crooks Rd
Ste 230
Troy, MI 48098
Phone (248) 385-0880

11051 Hall Rd
Ste 210
Utica, MI 48317
Phone (586) 739-5220

Interoperability endpoints

  • Direct secure messaging: akahl@crs.gwaydirect.com

Organizations & group practices 2

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.

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": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1821840091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 MILLER RD",
            "city": "MUSSEY",
            "state": "MI",
            "postal_code": "480143313",
            "telephone_number": "248-930-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 MILLER RD",
            "city": "MUSSEY",
            "state": "MI",
            "postal_code": "480143313",
            "telephone_number": "248-930-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHL",
        "first_name": "AMANDA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704338800NSA230VU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mussey, MI

Sources for this page

Verify at the official NPI Registry.