Individual provider Active NPI

Joseph Richard-Mulligan Wille, DO

  • Family Medicine Physician
  • Clare, MI
National Provider Identifier
1073134839
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1740219526 Issued in MI
Practice address
602 Beech St Ste 3100
Clare, MI 48617-1467
Phone
(989) 802-5091
Fax
(989) 802-5083
NPI assigned
May 4, 2020
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1740219526 MI Primary

Addresses

Primary practice location

602 Beech St Ste 3100
Clare, MI 48617-1467

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (248) 804-6860

Other practice location 1

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705000515 MI Practitioner - Family Practice 7416375415 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Marian University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlmaGroup PAC ID 3375451404, 140 clinicians
Mymichigan Medical Center ClareGroup PAC ID 7012829773, shared by 9 NPIs, 128 clinicians

Practice addresses (Care Compare)

364 W Wright Ave
Shepherd, MI 48883-5166
Phone (989) 828-6691

602 Beech St
Clare, MI 48617-1466
Phone (989) 802-5117

602 Beech St
Suite 1100
Clare, MI 48617-1476
Phone (989) 386-9911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1740219526MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Clare CurrentSince Jun 29, 2023 Accepting new patients
Mymichigan Medical Center Midland Family Medicine CurrentSince Jan 16, 2024 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Jun 29, 2023 Accepting new patients
Mymichigan Medical Center Alma Family Medicine CurrentSince Jan 16, 2024 Accepting new patients
Mymichigan Medical Center Alma Family Medicine CurrentSince Jan 16, 2024 Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Jan 16, 2024 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jan 16, 2024 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Jan 16, 2024 Accepting new patients
Mymichigan Medical Center Clare Past Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

2980 Wilder Rd
Ste B
Bay City, MI 48706
Phone (989) 509-3333

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

5694 Midland Rd
Freeland, MI 48623
Phone (989) 695-2123

1105 E Cedar Ave
Gladwin, MI 48624
Phone (989) 246-6201

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

121 N Pine River St
Ithaca, MI 48847
Phone (989) 875-0662

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

3009 N Saginaw Rd
Midland, MI 48640
Phone (989) 633-1350

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

364 W Wright Ave
Shepherd, MI 48883
Phone (989) 828-6691

335 E Houghton Ave
West Branch, MI 48661
Phone (989) 343-3154

Interoperability endpoints

  • Direct secure messaging: jwille139830@mymichiganhealth.midirect.net

Organizations & group practices 10

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1073134839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "248-804-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BEECH ST STE 3100",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171467",
            "telephone_number": "989-802-5091",
            "fax_number": "989-802-5083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Genesys Pkwy",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484398065",
            "country_code": "US",
            "telephone_number": "810-606-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLE",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD-MULLIGAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "1740219526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clare, MI

Sources for this page

Verify at the official NPI Registry.