Active NPI
Rodney Riesland, NP
- Primary Care Nurse Practitioner
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 205362
- Practice address
- 1414 W Fair Ave
Ste 344
Marquette, MI 49855-2675 - Phone
- (906) 225-3910
- Fax
- (906) 225-4529
- NPI assigned
- Nov 10, 2005
- Last updated
- Mar 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 205362 | MI | Primary |
Addresses
Primary practice location
1414 W Fair Ave
Ste 344
Marquette, MI 49855-2675
Mailing address
PO Box 220
Marquette, MI 49855-0220
Phone (906) 225-3910
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00045838 | Other | MI | RAILROAD MEDICARE |
| 381358036011 | Other | MI | TRICARE |
| 4517925 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Munising Memorial Hospital AssociationHelen Newberry Joy Hospital
Practice addresses (Care Compare)
1500 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 387-4110
502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205362 | MI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Munising Memorial Hospital Association | Current | Accepting new patients | |
| Munising Memorial Hospital Association | Current | Accepting new patients | |
| Northern Michigan Emergency Physicians, LLP | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Munising Memorial Hospital Association | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Schoolcraft Memorial Hospital | Current | Accepting new patients | |
| Northern Michigan Emergenc Physicians, LLP | Current | Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients |
Locations
3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311
7870W US Highway 2
Manistique, MI 49854
Phone (906) 341-2153
1414 W Fair Ave
Ste 344
Marquette, MI 49855
Phone (906) 225-3910
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
1500 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4110
502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131
751 S 7th St
Ontonagon, MI 49953
Phone (906) 884-2824
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5f5b322c-2217-4325-ad8e-025b10008aca/
- rriesland129125@mymichiganhealth.midirect.net
Organizations & group practices 12
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.
-
dba Marquette General Family Medicine - Marquette
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
-
- Critical Access Hospital
- Newberry, MI
- NPI 1497742050
-
dba Manistique Lakes Family Clinic
- Rural Health Clinic/Center
- Curtis, MI
- NPI 1972650935
-
dba Munising Memorial Hospital
- Critical Access Hospital
- Munising, MI
- NPI 1417035536
-
dba Bay Care Medical Center
- Family Medicine Physician
- Munising, MI
- NPI 1629120415
-
- Emergency Medicine Physician
- Escanaba, MI
- NPI 1417972183
-
- Critical Access Hospital
- Manistique, MI
- NPI 1700805157
-
dba UP Health System Pediatric Specialists
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
dba Marquette General Surgical Specialists
- Surgery Physician
- Marquette, MI
- NPI 1679820211
-
dba HNJH - Skilled Care
- Nursing Facility/Intermediate Care Facility
- Newberry, MI
- NPI 1164545323
-
dba Baycare Medical Center
- Family Medicine Physician
- Au Train, MI
- NPI 1205673241
-
- Emergency Medicine Physician
- Sault Sainte Marie, MI
- NPI 1922105113
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Newberry, MI
- NPI 1497742050
-
dba Munising Memorial Hospital
- Critical Access Hospital
- Munising, MI
- NPI 1417035536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1013998574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498550220",
"telephone_number": "906-225-3910",
"fax_number": "906-225-4529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE",
"address_2": "STE 344",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552675",
"telephone_number": "906-225-3910",
"fax_number": "906-225-4529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIESLAND",
"first_name": "RODNEY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "205362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00045838",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "381358036011",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4517925",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.