Individual provider Active NPI

Anthony Pratt

  • Family Nurse Practitioner
  • Alpena, MI
National Provider Identifier
1902342736
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704259763 Issued in MI
Practice address
104 Fair Ave
Alpena, MI 49707-2716
Phone
(989) 464-1015
NPI assigned
Jan 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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 4704259763 MI Primary

Addresses

Primary practice location

104 Fair Ave
Alpena, MI 49707-2716

Mailing address

104 Fair Ave
Alpena, MI 49707-2716

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
I20170213000079 MI Practitioner - Nurse Practitioner 0042593345 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704259763MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians-Michigan, PLLC CurrentSince Jan 12, 2017 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Jan 12, 2017 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jan 23, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC CurrentSince Jan 1, 2022 Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC CurrentSince Dec 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of Michigan, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Jan 23, 2019 Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: apratt59750@mymichiganhealth.midirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1902342736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FAIR AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FAIR AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072716",
            "telephone_number": "989-464-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704259763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.