Active NPI
Joseph Mashni, FNP
- Nurse Practitioner
- Watervliet, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704141572
- Practice address
- 460 Medical Park Dr Ste 200
Watervliet, MI 49098-9225 - Phone
- (269) 463-3600
- Fax
- (269) 463-8206
- NPI assigned
- Aug 22, 2005
- Last updated
- Aug 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 47-04-141572 | MI | |
| Nurse Practitioner | 363L00000X | 4704141572 | MI | Primary |
Addresses
Primary practice location
460 Medical Park Dr Ste 200
Watervliet, MI 49098-9225
Mailing address
460 Medical Park Dr Ste 200
Watervliet, MI 49098-9225
Phone (269) 463-3600
Other practice location 1
310 S Front St
Dowagiac, MI 49047-1740
Phone (269) 782-8696
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104208714 | Medicaid | MI | |
| 104208690 | Medicaid | MI | |
| 104208705 | Medicaid | MI | |
| 104208723 | Medicaid | MI | |
| 140294150 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeland Community Hospital Watervliet
Practice addresses (Care Compare)
400 Medical Park Dr
Watervliet, MI 49098-9225
Phone (269) 463-3600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Past | Accepting new patients | |
| Borgess Lee Memorial Hospital | Past | Accepting new patients |
Locations
420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681
520 Main St
Dowagiac, MI 49047
Phone (269) 390-0536
520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052
2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
5515 Cleveland Ave
Ste 5
Stevensville, MI 49127
Phone (269) 429-9644
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
460 Medical Park Dr
Ste 200
Watervliet, MI 49098
Interoperability endpoints
- https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
- jmashni1270723@epic00.corewelldirect.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Corewell Health Watervliet Hospital Primary Care - Hartford
- Rural Health Clinic/Center
- Hartford, MI
- NPI 1023114741
-
dba Corewell Health Watervliet Hospital Southwestern Medical Multispecial
- Rural Health Clinic/Center
- Niles, MI
- NPI 1538592753
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
dba Corewell Health Watervliet Hospital
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1184467607
-
dba Corewell Health Watervliet Hospitals
- Rural Health Clinic/Center
- Watervliet, MI
- NPI 1508924770
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
dba Borgess Lee Memorial Medical Group
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1740320894
-
dba Corewell Health Watervliet Hospital Primary Care - Coloma
- Rural Health Clinic/Center
- Coloma, MI
- NPI 1083710701
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Watervliet Hospital
- General Acute Care Hospital
- Watervliet, MI
- NPI 1700994845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1265424527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 MEDICAL PARK DR STE 200",
"city": "WATERVLIET",
"state": "MI",
"postal_code": "490989225",
"telephone_number": "269-463-3600",
"fax_number": "269-463-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 MEDICAL PARK DR STE 200",
"city": "WATERVLIET",
"state": "MI",
"postal_code": "490989225",
"telephone_number": "269-463-3600",
"fax_number": "269-463-8206"
}
],
"practiceLocations": [
{
"address_1": "310 S Front St",
"address_purpose": "LOCATION",
"city": "Dowagiac",
"state": "MI",
"postal_code": "490471740",
"country_code": "US",
"telephone_number": "269-782-8696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASHNI",
"first_name": "JOSEPH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "47-04-141572",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704141572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104208714",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104208690",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104208705",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104208723",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140294150",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watervliet, MI
- Lakeland Hospitals at Niles and St Joseph, Inc
- LDBH, LLC (Liberty Dialysis at Lakeland Watervliet)
- Alfonso Generalao Llanto, MD
- Lope a Vitangcol Jr MD PC
- Angelique Madison, FNP
- Megan McQuillan
- Danielle L Melford, PHARMD
- Araceli Cempron Mesiona-Brucal, M.D.
- Fikile Wendy Mpofu
- Erika Suzanne Nearpass, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.