Active NPI
Rose Mary Noetzel Spellman, FNP-C
- Family Nurse Practitioner
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704342679
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704342679 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Northview Medical House Calls PLC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients | |
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Northview Health Specialists, PLLC | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | 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
- 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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1457144933
-
dba Careline Physician Services
- Family Medicine Physician
- Saginaw, MI
- NPI 1336447002
-
dba Munson Healthcare OMH Medical Group-Gaylord RHC
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1164628426
-
dba Optimal Care Physician Services
- Family Medicine Physician
- Grand Rapids, MI
- NPI 1629558978
-
dba Optimal Care Physician Services
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Jackson, MI
- NPI 1801367073
-
dba MHC Great Lakes Plastic Surgery & Skin Center- Petoskey
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
-
dba Munson Healthcare OMH Medical Group-Gaylord
- General Practice Physician
- Gaylord, MI
- NPI 1821064643
-
dba Theoria Primary Care
- Internal Medicine Physician
- Brighton, MI
- NPI 1164186946
Nurse Practitioner
-
- Skilled Nursing Facility
- Independence Township, MI
- NPI 1669965299
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
- Home Health Agency
- Saginaw, MI
- NPI 1083341168
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.