Individual provider Active NPI

Ting-Wan Yip Worden

  • Pediatric Nurse Practitioner
  • Marshall, MI
National Provider Identifier
1255965539
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
20325104107 Issued in MI
Practice address
720 US Highway 27 N
Marshall, MI 49068-9609
Phone
(269) 781-6600
NPI assigned
Feb 26, 2020
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 20325104107 MI Primary
Pediatric Registered Nurse 163WP0200X 4704280802 MI

Addresses

Primary practice location

720 US Highway 27 N
Marshall, MI 49068-9609

Mailing address

720 US Highway 27 N
Marshall, MI 49068-9609

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
I20220602002199 MI Practitioner - Nurse Practitioner 5092193060 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704280802MIMDPediatric Registered Nurse
20325104107MIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Health, Inc. CurrentSince Nov 3, 2025 Accepting new patients
Grace Health, Inc. CurrentSince Nov 3, 2025 Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients

Locations

181 Emmett St W
Battle Creek, MI 49037
Phone (269) 965-8866

Interoperability endpoints

  • Direct secure messaging: tingwan.worden.p1@direct.gracehealthmi.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1255965539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 US HIGHWAY 27 N",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 US HIGHWAY 27 N",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689609",
            "telephone_number": "269-781-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORDEN",
        "first_name": "TING-WAN",
        "middle_name": "YIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "20325104107",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MI",
            "license": "4704280802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.