Individual provider Active NPI

Rose Mary Noetzel Spellman, FNP-C

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1154808418
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704342679 Issued in MI
Practice address
4760 Fashion Square Blvd Ste L-1
Saginaw, MI 48604-2620
Phone
(989) 282-4003
Fax
(888) 491-7220
NPI assigned
Jul 19, 2018
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 4704342679 MI Primary

Addresses

Primary practice location

4760 Fashion Square Blvd Ste L-1
Saginaw, MI 48604-2620

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762
Phone (517) 212-2008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address delavega@theoriamedical.com Other

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
I20180926001114 MI Practitioner - Nurse Practitioner 2567713860 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Northview Medical House Calls PLCGroup PAC ID 9537345400, 36 clinicians

Practice addresses (Care Compare)

1728 S Peninsula Rd
East Jordan, MI 49727-9410
Phone (231) 536-2286

4760 Fashion Square Blvd
Suite L 1
Saginaw, MI 48604-2620
Phone (989) 282-4003

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704342679MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Northview Medical House Calls PLC CurrentSince May 11, 2026 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Aug 31, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Mar 24, 2025 Accepting new patients
Northview Health Specialists, PLLC CurrentSince May 11, 2026 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Aug 15, 2018 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Aug 15, 2018 Accepting new patients
Theoria Medical Nurse Practitioner Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

1728 S Peninsula Rd
East Jordan, MI 49727
Phone (231) 536-2286

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 140
Gaylord, MI 49735
Phone (989) 731-7860

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

770 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 272-3533

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

4760 Fashion Square Blvd
Ste L1
Saginaw, MI 48604
Phone (989) 282-4003

Interoperability endpoints

  • Direct secure messaging: rspellman@direct.mhc.net

Organizations & group practices 11

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 2

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1154808418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-2008",
            "fax_number": "517-212-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 FASHION SQUARE BLVD STE L-1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042620",
            "telephone_number": "989-282-4003",
            "fax_number": "888-491-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMAN",
        "first_name": "ROSE MARY",
        "middle_name": "NOETZEL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704342679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "delavega@theoriamedical.com",
            "affiliation": "N",
            "endpointDescription": "onboarding coordinator",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1728 S. Peninsula Road",
            "city": "East Jordan",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.