Individual provider Active NPI

Nathan Debruine, MD

  • Emergency Medicine Physician
  • Greenville, MI
National Provider Identifier
1235870882
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4351049609 Issued in MI
Practice address
615 S Bower St
Greenville, MI 48838-2614
Phone
(866) 542-7910
NPI assigned
Apr 6, 2022
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4351049609 MI Primary

Addresses

Primary practice location

615 S Bower St
Greenville, MI 48838-2614

Mailing address

4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416
Phone (616) 975-1845

Other practice location 1

1 Atkinson Dr
Ludington, MI 49431-1906
Phone (231) 843-2591

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807002845 MI Practitioner - Emergency Medicine 6800274218 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Human Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecs Western Michigan PCGroup PAC ID 8628327384, 202 clinicians
Ecs Northern Michigan PCGroup PAC ID 3173892627, 24 clinicians

Practice addresses (Care Compare)

615 S Bower St
Greenville, MI 48838-2614
Phone (866) 542-7910

748 S Main St
McLaren Northern Michigan Cheboygan
Cheboygan, MI 49721-2220
Phone (231) 627-7118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.48 of 100Reported as group
Quality
89.26
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Medical Services PC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Ecs Northern Michigan PC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Ecs Western Michigan PC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients

Locations

748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

4100 Embassy Dr SE
Ste 400
Grand Rapids, MI 49546
Phone (616) 285-8075

615 S Bower St
Greenville, MI 48838
Phone (616) 754-4341

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1235870882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 EMBASSY DR SE STE 400",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462416",
            "telephone_number": "616-975-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S BOWER ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382614",
            "telephone_number": "866-542-7910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Atkinson Dr",
            "address_purpose": "LOCATION",
            "city": "Ludington",
            "state": "MI",
            "postal_code": "494311906",
            "country_code": "US",
            "telephone_number": "231-843-2591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBRUINE",
        "first_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4351049609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.