Jeffrey S Dauphinais, NP
Individual provider Active NPI Family Nurse Practitioner · Lanse, MI
NPI 1144722265 · NPPES record last updated Mar 5, 2018
Key facts
- NPI
- 1144722265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704261588 (MI)
- Practice address
- 18341 US Highway 41
Lanse, MI 49946-8024 - Phone
- (906) 524-6118
- Fax
- (906) 524-6218
- NPI assigned
- Mar 5, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baraga County Memorial Hospital
Practice addresses (Care Compare)
18341 US Hwy 41
Lanse, MI 49946-8024
Phone (906) 524-3320
Hospital & facility affiliations
- Baraga County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191031001907 | MI | Practitioner - Nurse Practitioner | 6002161106 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baraga County Memorial Hospital | Current | Accepting new patients | |
| Baraga County Memorial Hospital | Current |
Accepting new patients | |
| Madison Mobile Wound Care Practice | Current |
Accepting new patients | |
| Bell Physician Practices Inc | Current |
Accepting new patients | |
| Bell Physician Practices Inc | Current |
Accepting new patients | |
| Baraga County Memorial Hospital | Current | Accepting new patients | |
| Baraga County Memorial Hospital | Current |
Accepting new patients |
Locations
901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653
18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704261588 | MI | Yes |
Addresses
Primary practice location
18341 US Highway 41
Lanse, MI 49946-8024
Mailing address
18341 US Highway 41
Lanse, MI 49946-8024
Phone (906) 524-6118
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704261588 | Other | MI | NURSING LICENSE-NP |
Other providers in Lanse, MI
- County of Houghton
- County of Houghton
- Cherie Cardinelle Dakota
- Daniel Cavanaugh Chiropractic PLLC
- Courtney Ann Darcy
- Pam Dove
- Ronda Dowd
- Elaine Dawn Dube
- Shannon Rae Dufek
- Rita Erickson
All providers in Lanse, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.