OrganizationActive
Allegiance Health
NPI 1417395997 · Primary Care Clinic/Center · Ann Arbor, MI
Provider details
- NPI number
- 1417395997
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lance Mueggenborg, Family Nurse Practitioner(405) 408-6500
- License
- 207Q00000X (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1362 Heatherwood Ln
Ann Arbor, MI 48108-2813
Phone: (405) 408-6500
Street-level locationGet directions
Mailing address
1404 W. North Street
Jackson, MI 49202
Registry dates
- Enumerated
- 2013-06-06
- Last updated
- 2013-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.