Manjerngie Cecelia Ndebe, FNP-C, PHD

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704241860 Issued in MI

Practice address

451 W. Milham Ave
Portage, MI 49024

Phone

(269) 488-9008

Fax

(269) 488-9001

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Christian Global Medical Healthcare, Incorporated

  • Primary Care Clinic/Center
  • Portage, MI
  • NPI 1841621299
  Medicare reassignment NPD Authorized official
• Christian Global Medical Healthcare Incorporated

  • Urgent Care Clinic/Center
  • Portage, MI
  • NPI 1063804995
  NPD Authorized official
• His Healing Hands Urgent Care Center Inc

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1780816199
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1063562585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 497",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49081",
            "telephone_number": "269-488-9008",
            "fax_number": "269-488-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W. MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49024",
            "telephone_number": "269-488-9008",
            "fax_number": "269-488-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDEBE",
        "first_name": "MANJERNGIE",
        "middle_name": "CECELIA",
        "name_prefix": "Miss",
        "credential": "FNP-C, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704241860",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704241860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "12016777",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Naugle, PH.D.
• Michael C Nave, MD
• Enayatullah Nawabi
• Kochai Nawabi
• Lubana Nawaz, PHARMD
• Celena Neal
• Hannah Neeson
• Candice Negley-Tackett, AU.D
• Macey Nelson
• Adrianna Nemeth

• Family Nurse Practitioner in Portage, MI
• Providers in Portage, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.

Verify at the official NPI Registry.