Active NPI
Jamie J Mulkey, FNP
- Family Nurse Practitioner
- West Branch, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704214196
- Practice address
- 621 Court St Ste 104
West Branch, MI 48661-8768 - Phone
- (989) 701-2293
- Fax
- (989) 701-2297
- NPI assigned
- Jan 13, 2011
- Last updated
- Nov 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704214196 | MI | Primary |
Addresses
Primary practice location
621 Court St Ste 104
West Branch, MI 48661-8768
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704214196 | Other | MI | STATE LICENSE |
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3076 Northridge Rd
Hale, MI 48739-9277
Phone (989) 728-0242
621 Court St
Suite 104
West Branch, MI 48661-8768
Phone (989) 701-2993
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704214196 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Northern Michigan Emergency Physicians, LLP | Current | Accepting new patients | |
| Northern Michigan Emergency Physicians, LLP | Current | Accepting new patients | |
| Mymichigan Medical Group | Current | Accepting new patients | |
| Northern Michigan Emergenc Physicians, LLP | Current | Accepting new patients | |
| Ausable Valley CMH | Past | Accepting new patients |
Locations
602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
621 Court St
Ste 104
West Branch, MI 48661
Phone (989) 701-2293
Interoperability endpoints
- jmulkey131644@mymichiganhealth.midirect.net
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1689623506
-
- Emergency Medicine Physician
- Escanaba, MI
- NPI 1417972183
-
- Physical Therapist
- Hale, MI
- NPI 1053301341
-
dba MyMichigan Family Medicine
- Rural Health Clinic/Center
- Alpena, MI
- NPI 1144722604
-
- Emergency Medicine Physician
- Sault Sainte Marie, MI
- NPI 1922105113
-
- Emergency Medicine Physician
- West Branch, MI
- NPI 1528083292
-
- Clinic/Center
- Tawas City, MI
- NPI 1952628893
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Gladwin, MI
- NPI 1235248071
-
dba MidMichigan Medical Center- West Branch
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
Hospital
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1285939868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 WELLNESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486702000",
"telephone_number": "989-839-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 COURT ST STE 104",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486618768",
"telephone_number": "989-701-2293",
"fax_number": "989-701-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULKEY",
"first_name": "JAMIE",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-13",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704214196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4704214196",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.
- 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.