Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emily Niemi

Individual provider Physician Assistant · NPI 1386395895

Emily Niemi is a Physician Assistant in Lincoln Park, Michigan. Qualified in 2022, 4 years ago. Practices with Lifesmart Medical Center PLLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022

Practice location Address checks out

2176 Fort St
Lincoln Park, MI 48146-2405
Phone: (313) 768-3290
Fax: (877) 409-3290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011420 (MI)

Record details

NPI number1386395895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 17, 2022
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address903 E Sunnybrook Dr, Royal Oak, MI 48073-2791

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lifesmart Medical Center Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lincoln Park