Individual provider Active NPI

Allison J Fleming, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Port Huron, MI
National Provider Identifier
1861170136
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06231998 Issued in MI
Practice address
1209 10TH St
Port Huron, MI 48060-5262
Phone
(810) 985-8170
NPI assigned
Jul 7, 2023
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 F06231998 MI Primary

Addresses

Primary practice location

1209 10TH St
Port Huron, MI 48060-5262

Mailing address

5102 Brown Rd
Kenockee, MI 48006-3216
Phone (810) 300-0940

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
I20230830000503 MI Practitioner - Nurse Practitioner 3072976653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Clair Medical P.CGroup PAC ID 1850295916, 9 clinicians

Practice addresses (Care Compare)

1209 10TH St D
Port Huron, MI 48060-5262
Phone (810) 985-8170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F06231998MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Clair Medical P.C CurrentSince Jul 10, 2023 Accepting new patients
Asthma, Allergy and Sinus Center, PC PastSince Jul 9, 2023 Accepting new patients

Locations

7685 Brockway Rd
Brockway, MI 48097
Phone (810) 387-3205

3436 S River Rd
East China, MI 48054
Phone (810) 326-3540

1209 10th St
Port Huron, MI 48060
Phone (810) 985-8170

1209 10th St
Ste D
Port Huron, MI 48060
Phone (810) 985-8170

1209 10th St
Ste E
Port Huron, MI 48060
Phone (810) 985-8170

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1861170136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 BROWN RD",
            "city": "KENOCKEE",
            "state": "MI",
            "postal_code": "480063216",
            "telephone_number": "810-300-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 10TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605262",
            "telephone_number": "810-985-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "ALLISON",
        "middle_name": "J",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F06231998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.