James Barczewski
Individual provider Active NPI Family Nurse Practitioner · Manistee, MI
NPI 1265185474 · NPPES record last updated May 18, 2022
Key facts
- NPI
- 1265185474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704295008 (MI)
- Practice address
- 2198 US 31 S
Manistee, MI 49660-9618 - Phone
- (231) 655-3672
- Fax
- (231) 723-1735
- NPI assigned
- Jan 28, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chronic Care Management LLC
Practice addresses (Care Compare)
815 Business Park Dr
Suite a
Traverse City, MI 49686-8683
Phone (231) 421-6921
Hospital & facility affiliations
- Munson Home Care
- Advisacare Solutions of Northern Michigan, LLC
- Munson Healthcare Cadillac Hospital
- Munson Medical Center
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220609000485 | MI | Practitioner - Nurse Practitioner | 3173762713 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chronic Care Management LLC | Current |
Accepting new patients |
Locations
204 W Buttles St
Midland, MI 48640
815 Business Park Dr
#A
Traverse City, MI 49686
Phone (231) 421-6921
815 Business Park Dr
Traverse City, MI 49686
Phone (231) 421-6921
Interoperability endpoints
- npalliative.jamesbarczewski@149243.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704295008 | MI | Yes |
Addresses
Primary practice location
2198 US 31 S
Manistee, MI 49660-9618
Mailing address
2198 US 31 S
Manistee, MI 49660-9618
Phone (231) 655-3672
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcerecords.centrawellness@direct.mihin.net | Direct | Manistee Benzie Community Mental Health |
Other providers in Manistee, MI
- Tina Argue
- Taylor Babashka
- Baldwin Family Health Care
- Kevin Ballmer
- Erin Elizabeth Barbus
- Eduardo V Barlan
- Ruben Michael Barroso
- Shauna Elisse Barroso
- Robert L Barry
- Margaret R Batzer
All providers in Manistee, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.