Individual provider Active NPI

Leah Rachelle Hongisto, N.P.

  • Nurse Practitioner
  • Escanaba, MI
National Provider Identifier
1245488303
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704191790 Issued in MI
Practice address
3409 Ludington Street
Escanaba, MI 49829-4213
Phone
(906) 428-5403
Fax
(906) 789-4503
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704191790 MI Primary
Emergency Medicine Physician 207P00000X 4704191790 MI

Addresses

Primary practice location

3409 Ludington Street
Escanaba, MI 49829-4213

Mailing address

3409 Ludington Street
Escanaba, MI 49829-4213
Phone (906) 428-5403

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
I20081023000430 MI Practitioner - Nurse Practitioner 7911065735 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis HospitalGroup PAC ID 5991604753, 85 clinicians
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

3409 Ludington St
Escanaba, MI 49829-4213

43134 Dequindre Rd
Sterling Heights, MI 48314-1723
Phone (586) 446-8688

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704191790MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital Current Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince Jun 28, 2022 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Jun 28, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 1, 2016 Accepting new patients
St Francis Hospital CurrentSince Apr 1, 2016 Accepting new patients
Northern Michigan Emergenc Physicians, LLP Emergency Medicine CurrentSince Sep 13, 2008 Accepting new patients
St. Francis Hospital Nurse Practitioner CurrentSince Apr 1, 2016 Accepting new patients
Northern Michigan Emergency Physicians, LLP Emergency Medicine CurrentSince Sep 13, 2008 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

7445 Allen Rd
Ste 250
Allen Park, MI 48101
Phone (313) 386-5500

3055 Plymouth Rd
Ste 103
Ann Arbor, MI 48105

6770 Dixie Hwy
Ste 204
Clarkston, MI 48346

7210 N Main St
Ste 103
Clarkston, MI 48346
Phone (248) 620-3376

319 N Lincoln Rd
Unit B
Escanaba, MI 49829

3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311

3409 Ludington St
Ste 204
Escanaba, MI 49829
Phone (906) 736-1356

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

2525 5th Ave S
Escanaba, MI 49829
Phone (906) 233-4276

5023 W Main St
Kalamazoo, MI 49009
Phone (877) 442-3627

15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103

1231 Pine Grove Ave
Ste 1B
Port Huron, MI 48060
Phone (810) 984-8650

18285 E 10 Mile Rd
Ste 150
Roseville, MI 48066
Phone (586) 526-3550

4805 Towne Centre Rd
Ste 103
Saginaw, MI 48604

43134 Dequindre Rd
Sterling Hts, MI 48314
Phone (586) 446-8688

1851 44th St SW
Ste M
Wyoming, MI 49519

2595 Development Dr
Ste 120
Green Bay, WI 54311

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230076800000",
    "number": "1245488303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 LUDINGTON STREET",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294213",
            "telephone_number": "906-428-5403",
            "fax_number": "906-789-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 LUDINGTON STREET",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294213",
            "telephone_number": "906-428-5403",
            "fax_number": "906-789-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONGISTO",
        "first_name": "LEAH",
        "middle_name": "RACHELLE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704191790",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4704191790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

Verify at the official NPI Registry.