Individual provider Active NPI

Joseph Karanja, FNP

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1194276287
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704291580 Issued in MI
Practice address
1110 Eldon Baker Dr
Flint, MI 48507-1923
Phone
(810) 213-1803
Fax
(810) 744-1306
NPI assigned
Oct 24, 2016
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 4704291580 MI
Family Nurse Practitioner 363LF0000X 4704291580 MI Primary

Addresses

Primary practice location

1110 Eldon Baker Dr
Flint, MI 48507-1923

Mailing address

1810 Big Bear Dr
Owosso, MI 48867-9159
Phone (513) 293-3759

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
I20190530002119 MI Practitioner - Nurse Practitioner 2860735156 Reassigns benefits to 1 organization

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
Genesee Health SystemGroup PAC ID 6002051091, 36 clinicians

Practice addresses (Care Compare)

725 Mason St
Flint, MI 48503-2421
Phone (810) 496-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Health System Current Accepting new patients
Genesee Health System Family CurrentSince Dec 29, 2020 Accepting new patients
Genesee Health System Nurse Practitioner CurrentSince Dec 29, 2020 Accepting new patients
Genesee Health System Family Past Accepting new patients

Locations

1040 W Bristol Rd
Flint, MI 48507
Phone (810) 257-3724

2298 S Center Rd
Flint, MI 48519
Phone (810) 496-5777

420 W 5th Ave
Flint, MI 48503
Phone (810) 257-3724

725 Mason St
Flint, MI 48503
Phone (810) 257-3736

Interoperability endpoints

  • Direct secure messaging: joe.karanjanp.p1@direct.gchc.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1194276287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 BIG BEAR DR",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488679159",
            "telephone_number": "513-293-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ELDON BAKER DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071923",
            "telephone_number": "810-213-1803",
            "fax_number": "810-744-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANJA",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704291580",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704291580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.