NPIMap

Individual provider Active NPI

Julia F Coenen, NP

  • Family Nurse Practitioner
  • Charlotte, MI
National Provider Identifier
1053424150
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704199741 Issued in MI
Practice address
111 Lansing St
Suite 200
Charlotte, MI 48813-2400
Phone
(517) 543-5110
Fax
(517) 543-9776
NPI assigned
Aug 16, 2006
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704199741 MI Primary

Addresses

Primary practice location

111 Lansing St
Suite 200
Charlotte, MI 48813-2400

Mailing address

321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 543-1050

Other identifiers 1

IdentifierTypeStateIssuer
481762711MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000257 MI Practitioner - Nurse Practitioner 4183648942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sparrow Eaton HospitalGroup PAC ID 0042103509, 45 clinicians

Practice addresses (Care Compare)

1415 S Main St
Sparrow Medical Group Eaton Rapids
Eaton Rapids, MI 48827-1959
Phone (517) 663-4809

616 Meijer Dr
Charlotte, MI 48813-8457
Phone (517) 541-5935

800 E Columbia St
Mason, MI 48854-1381

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital Current Accepting new patients
Sparrow Eaton Hospital CurrentSince Feb 11, 2011 Accepting new patients
Sparrow Eaton Hospital CurrentSince Feb 11, 2011 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jun 14, 2023 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Jun 14, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

111 Lansing St
Ste 200
Charlotte, MI 48813
Phone (517) 541-5882

123 Lansing St
Ste 2
Charlotte, MI 48813
Phone (517) 541-5954

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

1415 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-4809

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

Interoperability endpoints

  • Direct secure messaging: jcoenen69029@sparrowdirecthie.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1053424150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E HARRIS ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131629",
            "telephone_number": "517-543-1050",
            "fax_number": "517-541-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LANSING ST",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488132400",
            "telephone_number": "517-543-5110",
            "fax_number": "517-543-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COENEN",
        "first_name": "JULIA",
        "middle_name": "F",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704199741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481762711",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.