Individual provider Active NPI

Eric Thomas Tornga, FNP-C

  • Family Nurse Practitioner
  • Allendale, MI
National Provider Identifier
1952908139
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704300367NSA200NL Issued in MI
Practice address
11315 Edgewater Dr
Allendale, MI 49401-9396
Phone
(616) 895-2000
NPI assigned
Oct 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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 4704300367NSA200NL MI Primary

Addresses

Primary practice location

11315 Edgewater Dr
Allendale, MI 49401-9396

Mailing address

11315 Edgewater Dr
Allendale, MI 49401-9396
Phone (616) 895-2000

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
I20201019001530 MI Practitioner - Nurse Practitioner 5597185264 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
Telehealth
Offers telehealth services
Group practices
Allendale Family PracticeGroup PAC ID 0244289775, 5 clinicians

Practice addresses (Care Compare)

11315 Edgewater Dr
Allendale, MI 49401-9396
Phone (616) 895-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704300367NSA200NLMIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allendale Family Practice CurrentSince Oct 8, 2020 Accepting new patients

Locations

11160 Wj Presley Pkwy
Ste 101
Allendale, MI 49401
Phone (616) 895-2000

11315 Edgewater Dr
Allendale, MI 49401
Phone (616) 895-2000

Interoperability endpoints

  • Direct secure messaging: eric.tornga.1@28510.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1952908139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 EDGEWATER DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019396",
            "telephone_number": "616-895-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 EDGEWATER DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019396",
            "telephone_number": "616-895-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNGA",
        "first_name": "ERIC",
        "middle_name": "THOMAS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704300367NSA200NL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, MI

Sources for this page

Verify at the official NPI Registry.