Individual provider Active NPI

Mary Anne Rick, PNP FNP-BC

  • Family Nurse Practitioner
  • Spring Arbor, MI
National Provider Identifier
1194718478
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
MR202588 Issued in MI
Practice address
106 E Main St
HHWC
Spring Arbor, MI 49283-9701
Phone
(517) 750-6352
Fax
(517) 750-6625
NPI assigned
Aug 23, 2005
Last updated
Sep 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X MR202588 MI Primary
Pediatric Nurse Practitioner 363LP0200X MR202588 MI

Addresses

Primary practice location

106 E Main St
HHWC
Spring Arbor, MI 49283-9701

Mailing address

106 E Main St
HHWC
Spring Arbor, MI 49283-9701
Phone (517) 750-6352

Other identifiers 4

IdentifierTypeStateIssuer
4634780MedicaidMI
0870362OtherMIBCBSM
8320044OtherMIPHP
0C80192OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MR202588MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Arbor University Physical Therapy and Athletic Training LLC PastSince Jan 19, 2019 Accepting new patients
Everyday Blessings Midwifery PLLC Family Past Accepting new patients
Spring Arbor University Past Accepting new patients

Organizations & group practices 3

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1194718478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "address_2": "HHWC",
            "city": "SPRING ARBOR",
            "state": "MI",
            "postal_code": "492839701",
            "telephone_number": "517-750-6352",
            "fax_number": "517-750-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "address_2": "HHWC",
            "city": "SPRING ARBOR",
            "state": "MI",
            "postal_code": "492839701",
            "telephone_number": "517-750-6352",
            "fax_number": "517-750-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICK",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "MR202588",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "MR202588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4634780",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0870362",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "8320044",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0C80192",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.