Individual provider Active NPI

Hilda Mbidzo, NP

  • Nurse Practitioner
  • Caro, MI
National Provider Identifier
1174968531
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704267390 Issued in MI
Practice address
1525 W Caro Rd
Caro, MI 48723-9686
Phone
(989) 860-0088
Fax
(989) 791-3859
NPI assigned
Apr 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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 4704267390 MI Primary

Addresses

Primary practice location

1525 W Caro Rd
Caro, MI 48723-9686

Mailing address

PO Box 5352
Saginaw, MI 48603-0352
Phone (989) 860-0088

Other practice location 1

3150 Hallmark Ct
Saginaw, MI 48603-2173
Phone (989) 793-4420

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
I20130730000248 MI Practitioner - Nurse Practitioner 2264673565 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704267390MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caro Health Plaza PLC CurrentSince Jan 2, 2015 Accepting new patients
Caro Health Plaza PLC CurrentSince Jan 2, 2015 Accepting new patients
Saginaw Valley Walk in Clinic, PLLC CurrentSince Jan 2, 2015 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Nurse Practitioner CurrentSince Sep 9, 2018 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Sep 9, 2018 Accepting new patients
Shattuck Family Physicians PLLC CurrentSince May 11, 2020 Accepting new patients
Mohamed Ally Health Plaza PLLC CurrentSince Jan 2, 2015 Accepting new patients
Saginaw Valley Medical Care PLC Current Accepting new patients
St. Charles Family Clinic PLLC PastSince May 17, 2020 Accepting new patients

Locations

1525 W Caro Rd
Caro, MI 48723
Phone (989) 672-2100

2425 Austins Pkwy
Ste 1
Flint, MI 48507
Phone (810) 238-8889

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

204 W Buttles St
Ste A
Midland, MI 48640

387 N State Rd
Ste B
Otisville, MI 48463
Phone (810) 631-0355

387 N State Rd
Ste A
Otisville, MI 48463
Phone (810) 631-4060

3020 Boardwalk Dr
Saginaw, MI 48603
Phone (989) 791-3852

3061 Christy Way
Saginaw, MI 48603
Phone (630) 788-1425

4046 Hess Ave
Saginaw, MI 48601
Phone (989) 372-1900

3785 Bay Rd
Saginaw, MI 48603

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20296/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hilda.mbidzo.1@20296.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15223/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1174968531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5352",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486030352",
            "telephone_number": "989-860-0088",
            "fax_number": "989-860-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239686",
            "telephone_number": "989-860-0088",
            "fax_number": "989-791-3859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Hallmark Ct",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486032173",
            "country_code": "US",
            "telephone_number": "989-793-4420",
            "fax_number": "989-793-8577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBIDZO",
        "first_name": "HILDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704267390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

Verify at the official NPI Registry.