Hallie Elizabeth Gonzalez, CNM

Primary specialty

Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X

License

4704308081 Issued in MI

Practice address

301 N Center St
Hartford, MI 49057-1199

Phone

(269) 621-0011

Fax

(269) 308-3336

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Hallie Elizabeth Raney Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emmaus Health PartnersGroup PAC ID 6204237365, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hrainey688240@direct.hfhs.org
• Direct secure messaging: hallie.gonzalez.1@11144.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11144/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emmaus Health Partners

  • Multi-Specialty Clinic/Center
  • Ann Arbor, MI
  • NPI 1851870653
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1275106148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N CENTER ST",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490571199",
            "telephone_number": "269-621-0011",
            "fax_number": "269-308-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N CENTER ST",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490571199",
            "telephone_number": "269-621-0011",
            "fax_number": "269-308-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "HALLIE",
        "middle_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "MI",
            "license": "4704308081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALLIE",
            "last_name": "RANEY",
            "middle_name": "ELIZABETH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nora Adessa Fox-Wentz, MASTER'S LTD. PSYCHO
• Ruth Wellington Fuentes, LMSW
• Tamara Nichole Gaishin, PA-C
• Danielle Gatny, LMSW, MSW
• Andrea Godawa, D.D.S
• Laura Irene Gonzalez, NP
• Seth William Griffin, DDS
• Dalena Haddock, B.S
• Shelby Hall
• Andrew Bruce Hamilton, D.D.S.

• Ambulatory Women's Health Care Registered Nurse in Hartford, MI
• Providers in Hartford, MI by specialty
• Ambulatory Women's Health Care Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.

Verify at the official NPI Registry.