Rita Marie Ingersoll, RN, BSN, CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

4704166753 Issued in MI

Practice address

665 Wellington Cres
Mount Clemens, MI 48043-2950

Phone

(586) 201-4177

Fax

(586) 329-3241

NPI assigned

Aug 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1013681295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463173",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480463173",
            "telephone_number": "586-201-4177",
            "fax_number": "586-329-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 WELLINGTON CRES",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432950",
            "telephone_number": "586-201-4177",
            "fax_number": "586-329-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGERSOLL",
        "first_name": "RITA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704166753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabbir Hussain
• Pasquale B. Iaderosa, MD
• Melissa Marie Ianitelli, D.O.
• Vanessa Ibrahim, DO
• Deyana N Ilyas
• Duncan George Innes, MD
• Inpatient Solutions PC
• Internal Medicine Associates of Mt. Clemens, PC
• Irb Medical Equipment LLC
• Matthew Irick, DO

• Case Management Registered Nurse in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Case Management Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.