Individual provider Active NPI

Julie Anne Bumpus X, FNP-BC

  • Family Nurse Practitioner
  • Dexter, MI
National Provider Identifier
1013497585
Registry record updated Jan 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704237867 Issued in MI
Practice address
7444 Ann Arbor Street
Suite D
Dexter, MI 48130-1419
Phone
(734) 730-8445
NPI assigned
Aug 15, 2018
Last updated
Jan 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704237867 MI
Family Nurse Practitioner 363LF0000X 4704237867 MI Primary

Addresses

Primary practice location

7444 Ann Arbor Street
Suite D
Dexter, MI 48130-1419

Mailing address

4848 Gregory Rd Ste a
Dexter, MI 48130-9628
Phone (734) 726-5421

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
I20201123003034 MI Practitioner - Nurse Practitioner 4082024930

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4898 Gregory Rd
Dexter, MI 48130-9628

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704237867MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
B & G Wellness Inc Family CurrentSince Aug 4, 2020 Accepting new patients

Locations

7444 Dexter Ann Arbor Rd
Dexter, MI 48130
Phone (734) 408-4182

7444 Dexter Ann Arbor Rd
Ste D
Dexter, MI 48130
Phone (734) 730-8445

9178 Highland Rd
Ste 1
White Lake, MI 48386
Phone (248) 698-1999

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674864000000",
    "number": "1013497585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 GREGORY RD STE A",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309628",
            "telephone_number": "734-726-5421",
            "fax_number": "949-543-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7444 ANN ARBOR STREET",
            "address_2": "SUITE D",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301419",
            "telephone_number": "734-730-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMPUS",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "name_suffix": "X",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704237867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704237867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

Verify at the official NPI Registry.