Renuka Camellia Haugen, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704159190 Issued in MI

Practice address

5352 Beckley Rd
Battle Creek, MI 49015

Phone

(269) 979-6888

NPI assigned

Aug 8, 2007

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ei-dayone

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.

• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Medicare reassignment NPD
• Nottawaseppi Huron Band of the Potawatomi

  dba NHBP Health Department

  • Federal Public Health Clinic/Center
  • Wyoming, MI
  • NPI 1770500548

  TX

  Medicare reassignment NPD
• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • Clinic/Center
  • Kalamazoo, MI
  • NPI 1447591524
  NPD
• Beacon Kalamazoo Inc

  dba Beacon Kalamazoo

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
  • NPI 1518753441
  NPD
• Calhoun County Emergency Physicians PC

  • Emergency Medicine Physician
  • Battle Creek, MI
  • NPI 1952585465
  NPD (past)
• Dayone City Care

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1659771426
  NPD (past)
• Hillsdale Emergency Group PC

  • Emergency Medicine Physician
  • Hillsdale, MI
  • NPI 1831418516

  Nurse Practitioner

  NPD (past)
• Wattles Park Family Practice PC

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1659512705
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1093906448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5352 BECKLEY RD STE B",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154155",
            "telephone_number": "269-979-6888",
            "fax_number": "269-979-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5352 BECKLEY RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49015",
            "telephone_number": "269-979-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 Fremont Street",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490173336",
            "country_code": "US",
            "telephone_number": "269-969-6123",
            "fax_number": "269-969-6122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUGEN",
        "first_name": "RENUKA",
        "middle_name": "CAMELLIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704159190",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704159190",
            "primary": false
        },
        {
            "code": "364SE0003X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Emergency",
            "state": "MI",
            "license": "4704159190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Haswell, LLPC
• Laqueshya Hatcher
• Kisha L Hath, LCSW
• Melissa Hatmaker, HOME CARE GIVER
• Randall Eugene Haugen, PH.D.
• Have Help Homecare
• Haven of Rest Ministries of Battle Creek
• Alexis Denise Hawkins-Dixon
• Rebecca Hawkins, OTR/CHT
• Felicia Denise Hayden, MFT

• Nurse Practitioner in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.