Amy H Oldejans, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704135672 Issued in MI

Practice address

2205 Jolly Rd
Ste B
Okemos, MI 48864-3983

Phone

(517) 347-4085

Fax

(517) 347-4170

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Iah of Michigan, PLLC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Troy, MI
  • NPI 1578969705
  Medicare reassignment NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Troy, MI
  • NPI 1336153295
  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Decatur Vein Clinic, Michigan, PC

  dba Decatur Vein Clinic

  • Vascular Surgery Physician
  • Grand Rapids, MI
  • NPI 1427050046
  NPD (past)
• VLSR Madireddy MD PC

  • Geriatric Medicine (Family Medicine) Physician
  • Okemos, MI
  • NPI 1023267945
  NPD (past)
• Decatur Vein Clinic, Michigan, PC

  dba Decatur Vein Clinic

  • Vascular Surgery Physician
  • Carmel, IN
  • NPI 1093881385
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1972687978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 RIVERWALK DR",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549381",
            "telephone_number": "517-999-4500",
            "fax_number": "517-999-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 JOLLY RD",
            "address_2": "STE B",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643983",
            "telephone_number": "517-347-4085",
            "fax_number": "517-347-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDEJANS",
        "first_name": "AMY",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11008849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704135672",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704135672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Okemos Psychological Consultanats
• Okemos Psychological Services, LLC
• Okemos Smile Center of Michigan PLLC
• Okemos Therapy Associates
• Okemos Urology Consultants PLC
• Reid Harrison Olds, D.D.S.,PC
• Omnition LLC (Cova Home Care)
• One Life Service
• One Mind Body Being, LLC
• Erika Ongena, LMSW

• Adult Health Nurse Practitioner in Okemos, MI
• Providers in Okemos, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.