Mercy Physician Network

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

4704113561 Issued in MI

Legal business name

MERCY PHYSICIAN NETWORK

Practice address

2585 W Houghton Lake Dr
Prudenville, MI 48651-9624

Phone

(989) 366-2900

Fax

(989) 366-1166

NPI assigned

Oct 18, 2012

Last updated

Oct 18, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY HOSPITALAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Barbara Gielincki, NP

Title

NP

Phone

(989) 366-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Prostep

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0f28b1ab-8e47-4a25-b8ea-aeb6ede39b7d/

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mercy Hospital

  • Pharmacy
  • Cadillac, MI
  • NPI 1295079937
  NPPES parent name

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1184977811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 W HOUGHTON LAKE DR",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 W HOUGHTON LAKE DR",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519624",
            "telephone_number": "989-366-2900",
            "fax_number": "989-366-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PHYSICIAN NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITAL",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "GIELINCKI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "989-366-2900",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4704113561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4704113561",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McLaren Primary Care
• Jamie Alison Mead, LLMSW
• Tracy Meehleder
• Mercy Hospital Grayling (MHSN Primary Care Services)
• Mercy Physician Network (Mercy Grayling)
• Melissa Merritt
• Alexandria Caroline Metcalf
• MHSN Primary Care Services
• MHSN Primary Care Services
• Kathy Jo Miles

• Primary Care Clinic/Center in Prudenville, MI
• Providers in Prudenville, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.