Active NPI
Amanda Katherine Chmielewski, DNP
- Acute Care Nurse Practitioner
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4704292816
- Practice address
- Iha Hospital Medicine Services
5301 E Huron River Drive
Ypsilanti, MI 48197 - Phone
- (734) 712-8676
- Fax
- (810) 230-0169
- NPI assigned
- May 21, 2020
- Last updated
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704292816 | MI | Primary |
Addresses
Primary practice location
Iha Hospital Medicine Services
5301 E Huron River Drive
Ypsilanti, MI 48197
Mailing address
24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
Phone (734) 747-6766
Other practice location 1
1194 Oak Valley Dr Ste 80B
Ann Arbor, MI 48108-8942
Phone (734) 975-5000
Other practice location 2
34505 W 12 Mile Rd Ste 100
Farmington Hills, MI 48331-3287
Phone (855) 559-7178
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Amanda.Chmielewski@StJoesHealth.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 583-9125
44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700
51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Iah of Michigan, PLLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Past | Accepting new patients |
Locations
1194 Oak Valley Dr
Ste 80B
Ann Arbor, MI 48108
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
4444 W Bristol Rd
Ste 150
Flint, MI 48507
Phone (810) 230-9500
2205 Jolly Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4085
2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386
500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Interoperability endpoints
- achmielewski29667@direct.trinity-health.org
- amanda.chmielewski@stjoeshealth.org
Organizations & group practices 8
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.
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Troy, MI
- NPI 1578969705
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba IHA Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ypsilanti, MI
- NPI 1568900512
-
dba IHA Milan Primary Care
- Family Medicine Physician
- Milan, MI
- NPI 1467509067
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1831712025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DRIVE",
"address_2": "SUITE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105",
"telephone_number": "734-747-6766",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "IHA HOSPITAL MEDICINE SERVICES",
"address_2": "5301 E HURON RIVER DRIVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48197",
"telephone_number": "734-712-8676",
"fax_number": "810-230-0169"
}
],
"practiceLocations": [
{
"address_1": "1194 Oak Valley Dr Ste 80B",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481088942",
"country_code": "US",
"telephone_number": "734-975-5000",
"fax_number": "734-975-0376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "34505 W 12 Mile Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483313287",
"country_code": "US",
"telephone_number": "855-559-7178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHMIELEWSKI",
"first_name": "AMANDA",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-21",
"last_updated": "2024-07-11",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MI",
"license": "4704292816",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Amanda.Chmielewski@StJoesHealth.org",
"affiliation": "N",
"endpointDescription": "E-Mail",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "34505 W 12 Mile Rd Ste 100",
"city": "Farmington Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483313287",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.