Erin Nicole Deprekel, DO
Individual provider Active NPI Family Medicine Physician · Iron Mountain, MI
NPI 1245768951 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1245768951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101026481 (MI)
- Practice address
- 1711 S Stephenson Ave Ste 210
Iron Mountain, MI 49801-3649 - Phone
- (517) 205-3998
- Fax
- (517) 205-7050
- NPI assigned
- May 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211006000528 | MI | Practitioner - General Practice | 0941578041 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Dickinson County Healthcare System | Neuromusculoskeletal Medicine & Omm | Current |
Accepting new patients |
Locations
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
1711 S Stephenson Ave
Ste 210
Iron Mountain, MI 49801
Phone (906) 776-5800
1010 Olive Ave
Florence, WI 54121
Phone (715) 528-4775
Interoperability endpoints
- erin.deprekel@marshfieldclinichealthsystem.cernerdirect.com
- erin.deprekel.1@22710.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 5101026481 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 5101023100 | MI | |
| Family Medicine Physician | 207Q00000X | 5101026481 | MI | Yes |
Addresses
Primary practice location
1711 S Stephenson Ave Ste 210
Iron Mountain, MI 49801-3649
Mailing address
1283 Timber Ridge Rd
Iron Mountain, MI 49801-9419
Phone (517) 294-6803
Other providers in Iron Mountain, MI
- Anna Demeuse
- Shelby Marie Demeuse
- Kit Demuri
- Daniela Den Boer
- Beth L Denell
- Bonnie Derocher
- Kathleen Dettman
- Dickinson County Healthcare System
- Dickinson County Healthcare System
- Dickinson County Healthcare System
All providers in Iron Mountain, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.