Individual provider Active NPI

Rodney Riesland, NP

  • Primary Care Nurse Practitioner
  • Marquette, MI
National Provider Identifier
1013998574
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
205362 Issued in MI
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00045838OtherMIRAILROAD MEDICARE
381358036011OtherMITRICARE
4517925MedicaidMI

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
I20040428000507 MI Practitioner - Nurse Practitioner 7719974138 Reassigns benefits to 7 organizations

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 AssociationGroup PAC ID 9830170372, shared by 3 NPIs, 14 clinicians
Helen Newberry Joy HospitalGroup PAC ID 5799671285, shared by 7 NPIs, 36 clinicians

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

LicenseStateTypeSpecialty
205362MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Oct 7, 2019 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Munising Memorial Hospital Association CurrentSince Apr 1, 2017 Accepting new patients
Munising Memorial Hospital Association Current Accepting new patients
Northern Michigan Emergency Physicians, LLP CurrentSince Jul 25, 2014 Accepting new patients
DLP Marquette Physician Practices Inc Current Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Dec 1, 2025 Accepting new patients
Munising Memorial Hospital Association CurrentSince Apr 1, 2017 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Schoolcraft Memorial Hospital CurrentSince Jul 9, 2014 Accepting new patients
Northern Michigan Emergenc Physicians, LLP CurrentSince Jul 25, 2014 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5f5b322c-2217-4325-ad8e-025b10008aca/
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.