Individual provider Active NPI

Nehemiah Kenneth Kalil Ingram, FNP

  • Nurse Practitioner
  • Muskegon, MI
National Provider Identifier
1871336453
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
274960 Issued in AZ
Practice address
1670 E Sherman Blvd Ste 100
Muskegon, MI 49444-1863
Phone
(231) 672-3600
Fax
(231) 676-7236
NPI assigned
Jun 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 274960 AZ Primary

Addresses

Primary practice location

1670 E Sherman Blvd Ste 100
Muskegon, MI 49444-1863

Mailing address

24 Frank Lloyd Wright Dr # J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766

Other practice location 1

20046 N John Wayne Pkwy
Ste 102
Maricopa, AZ 85139
Phone (520) 497-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MI, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240910004949 AZ Practitioner - Nurse Practitioner 0840730388 Reassigns benefits to 1 organization
I20250205003414 MI Practitioner - Nurse Practitioner 0840730388 Reassigns benefits to 2 organizations
I20250917001213 PA Practitioner - Nurse Practitioner 0840730388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

1205 Langhorne Newtown Rd
102B Trinity Health Virtual on Demand Ca
Langhorne, PA 19047-1220
Phone (215) 710-2633

1471 E Beltline Ave NE
Suite 202
Grand Rapids, MI 49525-4548
Phone (616) 410-7701

1670 E Sherman Blvd
Suite 100
Muskegon, MI 49444-1863
Phone (231) 672-3600

2006 Holton Rd
Suite 500
Muskegon, MI 49445-1505
Phone (231) 370-1280

2305 Genoa Bus Park Dr
Brighton, MI 48114-7005

3380 44TH St SW
Suite 100 Trinity Health Urgent Care Rivert
Grandville, MI 49418-2461
Phone (616) 410-7703

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
274960AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Mercy Health Partners CurrentSince Oct 1, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Sep 3, 2025 Accepting new patients
Iha Health Services Corporation CurrentSince Feb 3, 2025 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Zuwa Family Care PLLC CurrentSince Jul 1, 2024 Accepting new patients
Iha Health Service Corporation CurrentSince Feb 3, 2025 Accepting new patients
Mercy Health Partners CurrentSince Oct 1, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Sep 3, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

20046 N John Wayne Pkwy
Ste 102
Maricopa, AZ 85139
Phone (520) 381-0048

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

1670 E Sherman Blvd
#100
Muskegon, MI 49444
Phone (231) 672-3600

71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23586/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nehemiah.ingram.1@31044.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1871336453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR # J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 E SHERMAN BLVD STE 100",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441863",
            "telephone_number": "231-672-3600",
            "fax_number": "231-676-7236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20046 N John Wayne Pkwy",
            "address_2": "STE 102",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "85139",
            "country_code": "US",
            "telephone_number": "520-497-4575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "NEHEMIAH",
        "middle_name": "KENNETH KALIL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "274960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.