Active NPI
Emily McCloskey, NP-C
- Nurse Practitioner
- Wyoming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AG06180042
- Practice address
- 2122 Health Dr SW
Suite 133
Wyoming, MI 49519 - Phone
- (616) 252-5950
- Fax
- (616) 252-5956
- NPI assigned
- Jun 25, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AG06180042 | MI | |
| Gerontology Nurse Practitioner | 363LG0600X | AG06180042 | MI | |
| Primary Care Nurse Practitioner | 363LP2300X | AG06180042 | MI | |
| Nurse Practitioner | 363L00000X | AG06180042 | MI | Primary |
Addresses
Primary practice location
2122 Health Dr SW
Suite 133
Wyoming, MI 49519
Mailing address
5900 Byron Center Ave SW
Medical Administration
Wyoming, MI 49519-9606
Phone (616) 252-3243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184119901 | Medicaid | MI |
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)
2122 Health Dr SW
Suite 133
Wyoming, MI 49519-9698
Phone (616) 252-5950
Hospital & facility affiliations
- University of Michigan Health - West
- Spectrum Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG06180042 | MI | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Hospital | Current | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients |
Locations
1310 E Beltline Ave SE
Grand Rapids, MI 49506
Phone (616) 252-1500
1113 W Superior St
Wayland, MI 49348
Phone (616) 252-3400
5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100
2122 Health Dr SW
Ste 133
Wyoming, MI 49519
Phone (616) 252-4139
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
Interoperability endpoints
- ehaan51346@direct.metrohealth.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1184119901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BYRON CENTER AVE SW",
"address_2": "MEDICAL ADMINISTRATION",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199606",
"telephone_number": "616-252-3243",
"fax_number": "616-252-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 HEALTH DR SW",
"address_2": "SUITE 133",
"city": "WYOMING",
"state": "MI",
"postal_code": "49519",
"telephone_number": "616-252-5950",
"fax_number": "616-252-5956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOSKEY",
"first_name": "EMILY",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "AG06180042",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "AG06180042",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "AG06180042",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "AG06180042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184119901",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.