Individual provider Active NPI

Adam Matthew Farnum, NP

  • Family Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1871175638
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704314779 Issued in MI
Practice address
1003 E Mount Hope Ave
Lansing, MI 48910-1822
Phone
(517) 853-3704
Fax
(855) 501-6733
NPI assigned
Apr 22, 2021
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 4704314779 MI Primary

Addresses

Primary practice location

1003 E Mount Hope Ave
Lansing, MI 48910-1822

Mailing address

3955 Patient Care Dr Ste a
Lansing, MI 48911-4271
Phone (517) 374-7600

Other practice location 1

3955 Patient Care Dr Ste A
Lansing, MI 48911-4271
Phone (517) 374-7600

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
I20210429001989 MI Practitioner - Nurse Practitioner 1254740400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Internal Medicine Associates P.C.Group PAC ID 8022097963, 64 clinicians

Practice addresses (Care Compare)

3955 Patient Care Dr
Lansing, MI 48911-4299
Phone (517) 374-7600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Internal Medicine Associates P.C. CurrentSince May 5, 2021 Accepting new patients
Healthtexas Provider Network PastSince Sep 1, 2024 Accepting new patients

Locations

1003 E Mount Hope Ave
Lansing, MI 48910
Phone (517) 853-3704

3955 Patient Care Dr
Lansing, MI 48911
Phone (517) 374-7600

3955 Patient Care Dr
Ste A
Lansing, MI 48911
Phone (517) 374-7600

Interoperability endpoints

  • Direct secure messaging: adam.farnum@cimamed.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1871175638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114271",
            "telephone_number": "517-374-7600",
            "fax_number": "855-495-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E MOUNT HOPE AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489101822",
            "telephone_number": "517-853-3704",
            "fax_number": "855-501-6733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3955 Patient Care Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489114271",
            "country_code": "US",
            "telephone_number": "517-374-7600",
            "fax_number": "855-495-5457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARNUM",
        "first_name": "ADAM",
        "middle_name": "MATTHEW",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-22",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704314779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.