Active NPI
Erin Nicole Deprekel, DO
- Family Medicine Physician
- Iron Mountain, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101026481
- 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
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| 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 | Primary |
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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101023100 | MI | MD | Student in an Organized Health Care Education/Training Program |
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
1711 S Stephenson Ave
Ste 210
Iron Mountain, MI 49801
Phone (906) 776-5800
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
1010 Olive Ave
Florence, WI 54121
Phone (715) 528-4775
Interoperability endpoints
- erin.deprekel.1@22710.direct.athenahealth.com
- erin.deprekel@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 2
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.
-
dba Marshfield Medical Center - Dickinson Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
Neuromusculoskeletal Medicine & Omm
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1245768951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1283 TIMBER RIDGE RD",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498019419",
"telephone_number": "517-294-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 S STEPHENSON AVE STE 210",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498013649",
"telephone_number": "517-205-3998",
"fax_number": "517-205-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPREKEL",
"first_name": "ERIN",
"middle_name": "NICOLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-24",
"last_updated": "2022-07-21",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MI",
"license": "5101026481",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5101023100",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101026481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iron Mountain, MI
- Anna Demeuse, RN
- Shelby Marie Demeuse
- Kit Demuri, RN
- Daniela Den Boer
- Beth L Denell
- Bonnie Derocher
- Kathleen Dettman
- Dickinson County Healthcare System (Marshfield Medical Center - Dickinson Hospice)
- Dickinson County Healthcare System (Dickinson Pulmonology Clinic)
- Dickinson County Healthcare System (Marshfield Medical Center - Dickinson Home Health (HHA))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.