Individual provider Active NPI

Camie Jean Wisinski, CNM

  • Advanced Practice Midwife
  • Hastings, MI
National Provider Identifier
1033815469
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704333675 Issued in MI
Practice address
1005 W Green St Ste 301
Hastings, MI 49058-1710
Phone
(269) 945-8080
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704333675 MI Primary

Addresses

Primary practice location

1005 W Green St Ste 301
Hastings, MI 49058-1710

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230418000369 MI Practitioner - Certified Nurse Midwife (CNM) 6608241096 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennock HospitalGroup PAC ID 4587551015, 79 clinicians

Practice addresses (Care Compare)

1005 W Green St
Hastings, MI 49058-1725

1009 W Green St
Corewell Health Pennock Hospital
Hastings, MI 49058-1710
Phone (269) 948-3129

1108 W State St
3 Corewell Health Pennock Hospital
Hastings, MI 49058-9711
Phone (269) 945-0922

520 W S St
Corewell Health Pennock Hospital
Hastings, MI 49058-2156
Phone (616) 267-0785

840 Cook Rd
Hastings, MI 49058-9616
Phone (269) 945-9520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Pennock Hospital CurrentSince Aug 19, 2024 Accepting new patients
Promed Healthcare CurrentSince May 1, 2023 Accepting new patients
Pennock Hospital CurrentSince Aug 19, 2024 Accepting new patients
Ascension Medical Group Promed CurrentSince May 1, 2023 Accepting new patients
Ascension Medical Group Promed Current Accepting new patients
Spectrum Health United CurrentSince Jan 25, 2026 Accepting new patients
Spectrum Health United CurrentSince Jan 25, 2026 Accepting new patients
Pennock Hospital Past Accepting new patients

Locations

551 Linn St
Allegan, MI 49010
Phone (269) 686-5800

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1005 W Green St
Ste 301
Hastings, MI 49058
Phone (269) 945-2419

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

2776 S State Rd
Ionia, MI 48846
Phone (616) 267-8700

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

671 Allegan St
Ste A
Plainwell, MI 49080
Phone (269) 685-1002

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Interoperability endpoints

  • Direct secure messaging: cwisinski271396@epic00.corewelldirect.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1033815469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W GREEN ST STE 301",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581710",
            "telephone_number": "269-945-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISINSKI",
        "first_name": "CAMIE",
        "middle_name": "JEAN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704333675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

Sources for this page

Verify at the official NPI Registry.