NPIMap

Individual provider Active NPI

Ashley Wolosonowich, MSN, APRN, FNP-C

  • Nurse Practitioner
  • West Branch, MI
National Provider Identifier
1083255665
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704281118NSA190RX Issued in MI
Practice address
335 E Houghton Ave Ste 3
West Branch, MI 48661-1127
Phone
(989) 343-3730
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704281118NSA190RX MI Primary

Addresses

Primary practice location

335 E Houghton Ave Ste 3
West Branch, MI 48661-1127

Mailing address

335 E Houghton Ave Ste 3
West Branch, MI 48661-1127

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
I20191115002495 MI Practitioner - Nurse Practitioner 3678905452 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progress Physical Therapy IncGroup PAC ID 5698669919, 23 clinicians

Practice addresses (Care Compare)

2463 S M
Suite 30
West Branch, MI 48661-9312
Phone (989) 345-3660

3076 Northridge Rd
Hale, MI 48739-9277
Phone (989) 728-0242

640 Court St
West Branch, MI 48661-9390
Phone (989) 345-8170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704281118NSA190RXMIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center West Branch CurrentSince Nov 5, 2019 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Mymichigan Medical Center Midland CurrentSince Nov 5, 2019 Accepting new patients
West Branch Regional Medical Center CurrentSince Oct 6, 2019 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Apr 11, 2022 Accepting new patients
Pain Management Group PLLC CurrentSince Apr 15, 2020 Accepting new patients
Mymichigan Medical Center Alpena Current Accepting new patients
Mymichigan Medical Center Alma Nurse Practitioner CurrentSince Apr 11, 2022 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Apr 11, 2022 Accepting new patients
Mymichigan Medical Center Alma Nurse Practitioner CurrentSince Apr 11, 2022 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Nov 5, 2019 Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients

Locations

570 Linn St
Ste 2
Allegan, MI 49010
Phone (269) 673-3619

315 E Warwick Dr
Ste C
Alma, MI 48801
Phone (989) 463-9300

1469 Mary Ct
Alma, MI 48801
Phone (989) 463-2150

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

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

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

215 E Mansion St
Ste 3C
Marshall, MI 49068
Phone (269) 781-4267

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

555 W Wackerly St
Ste 3625
Midland, MI 48640
Phone (989) 832-4202

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

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

335 E Houghton Ave
Ste 3
West Branch, MI 48661
Phone (989) 343-3730

640 Court St
West Branch, MI 48661
Phone (989) 343-3730

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Interoperability endpoints

  • Direct secure messaging: awolosonowich90158@mymichiganhealth.midirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1083255665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E HOUGHTON AVE STE 3",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E HOUGHTON AVE STE 3",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611127",
            "telephone_number": "989-343-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOSONOWICH",
        "first_name": "ASHLEY",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704281118NSA190RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.