Azra Abbasi, AGNP-C
Individual provider Active NPI Gerontology Nurse Practitioner · Okemos, MI
NPI 1871196014 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1871196014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 4704287117 (MI)
- Practice address
- 2205 Jolly Rd Ste B
Okemos, MI 48864-3983 - Phone
- (517) 347-4085
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Vpa PC
Practice addresses (Care Compare)
Okemos, MI 48864
Phone (517) 347-4085
Hospital & facility affiliations
- Residential Home Health and Hospice
- Elara Caring
- Residential Home Health
- Sparrow Home Care
- Edward W Sparrow Hospital
- University of Michigan Health- Sparrow Clinton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210409000412 | MI | Practitioner - Nurse Practitioner | 5395153423 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704287117 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current |
Accepting new patients | |
| Vpa PC | Current |
Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- aabbasi@landmarkhealth-direct.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704287117 | MI | |
| Gerontology Nurse Practitioner | 363LG0600X | 4704287117 | MI | Yes |
Addresses
Primary practice location
2205 Jolly Rd Ste B
Okemos, MI 48864-3983
Mailing address
PO Box 40412
Belfast, ME 04915-1255
Phone (248) 824-6500
Other practice location 1
190 Lake Ridge Dr
Mason, MI 48854-8328
Phone (517) 833-0522
Other providers in Okemos, MI
- 18957 Rei After Work LLC
- 97 Smiles of Okemos
- A & a Psychotherapy Associates PC
- A Little Dash of Love Home Care LLC
- Aajay N Shah MD PLC
- Mohamed Abdulahi
- Above and Beyond Home Care Services LLC
- Absolute Transport Services
- Aces Therapeutic Counseling Services
- Kallista Ackerson
All providers in Okemos, MI · Gerontology Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.