Emily Rose Prunick, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Munising, MI
NPI 1225890601 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1225890601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704330642 (MI)
- Practice address
- 1504 Sandpoint Rd
Munising, MI 49862-1406 - Phone
- (906) 387-4220
- Fax
- (906) 387-5449
- NPI assigned
- Jan 30, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- North Carolina Medical School, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Superior Walk-in Center PC
Practice addresses (Care Compare)
1504 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 387-4220
Hospital & facility affiliations
- North Woods Home Nursing
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240321003331 | MI | Practitioner - Nurse Practitioner | 7214374586 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704330642 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Walk-in Center, PC | Current | Accepting new patients | |
| Superior Walk-in Center, PC | Current |
Accepting new patients | |
| Superior Walk-in Center, PC | Current | Accepting new patients | |
| Superior Walk-in Center, PC | Current |
Accepting new patients |
Locations
1504 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4220
Interoperability endpoints
- emily.prunick@direct.uphie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704330642 | MI | Yes |
Addresses
Primary practice location
1504 Sandpoint Rd
Munising, MI 49862-1406
Mailing address
1504 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 387-4220
Other names
- Emily Rose Desjardins
Other providers in Munising, MI
- Heather Palmer
- Pathways Community Mental Health
- Victor Adam Patronik
- Kerrie Phillipson
- Jan Hazel Prokosch
- Putvin Health Mart of Munising Inc
- Chelsea Elise Ray
- Nicole Roth
- Walter William Rudzinski
- Kareem Said
All providers in Munising, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.