Individual provider Active NPI

Taryn Nicole Ostrom, NP-C

  • Family Nurse Practitioner
  • Shelby Township, MI
National Provider Identifier
1083202923
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704303851 Issued in MI
Practice address
8180 26 Mile Rd # 100
Shelby Township, MI 48316-5129
Phone
(586) 336-7321
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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 4704303851 MI Primary

Addresses

Primary practice location

8180 26 Mile Rd # 100
Shelby Township, MI 48316-5129

Mailing address

8180 26 Mile Rd # 100
Shelby Township, MI 48316-5129
Phone (586) 336-7321

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
I20210125002592 MI Practitioner - Nurse Practitioner 4486068921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David W Calton MD PCGroup PAC ID 8527194950, 3 clinicians

Practice addresses (Care Compare)

8180 26 Mile Rd
Suite 100
Shelby Township, MI 48316-5129
Phone (586) 336-7321

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704303851MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Creek Urgent Care PLLC CurrentSince Jan 10, 2021 Accepting new patients
David W. Calton, M.D., P.C. CurrentSince Jan 18, 2021 Accepting new patients

Locations

8180 26 Mile Rd
Ste 100
Shelby Township, MI 48316
Phone (586) 336-7321

Interoperability endpoints

  • Direct secure messaging: tarynostrom@dwcmdpc.allscriptsdirect.net

Organizations & group practices 2

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 6

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": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1083202923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 26 MILE RD # 100",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165129",
            "telephone_number": "586-336-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 26 MILE RD # 100",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483165129",
            "telephone_number": "586-336-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROM",
        "first_name": "TARYN",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704303851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.