Individual provider Active NPI

April Nicole Conway, AGNP

  • Nurse Practitioner
  • Caro, MI
National Provider Identifier
1861955932
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG04190012 Issued in MI
Practice address
1525 W Caro Rd
Caro, MI 48723-9686
Phone
(989) 860-0088
Fax
(989) 791-3859
NPI assigned
Apr 7, 2019
Last updated
May 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AG04190012 MI Primary

Addresses

Primary practice location

1525 W Caro Rd
Caro, MI 48723-9686

Mailing address

PO Box 5352
Saginaw, MI 48603-0352
Phone (989) 860-0088

Other practice location 1

3047 Shabay Dr
Flushing, MI 48433-2464
Phone (810) 423-2779

Other practice location 2

387 N State Rd Ste B
Otisville, MI 48463-9503
Phone (810) 631-4060

Other identifiers 2

IdentifierTypeStateIssuer
AG04190012OtherMICOMMERCIAL
AG04190012MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aconway1@hurleymc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230120001555 TX Practitioner - Nurse Practitioner 6406289719

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG04190012MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Family Clinic PLLC PastSince Mar 4, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1861955932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5352",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486030352",
            "telephone_number": "989-860-0088",
            "fax_number": "989-791-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239686",
            "telephone_number": "989-860-0088",
            "fax_number": "989-791-3859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3047 Shabay Dr",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "MI",
            "postal_code": "484332464",
            "country_code": "US",
            "telephone_number": "810-423-2779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "387 N State Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Otisville",
            "state": "MI",
            "postal_code": "484639503",
            "country_code": "US",
            "telephone_number": "810-631-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "APRIL",
        "middle_name": "NICOLE",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "AG04190012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "AG04190012",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AG04190012",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aconway1@hurleymc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "3047 Shabay Dr",
            "city": "Flushing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484332464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

Verify at the official NPI Registry.