Individual provider Active NPI

Emily Coreen Ball, FNP

  • Family Nurse Practitioner
  • Chelsea, MI
National Provider Identifier
1295342913
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704378073 Issued in MI
Practice address
1145 S Main St Unit a
Chelsea, MI 48118-1408
Phone
(517) 205-8667
NPI assigned
Sep 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 10941553-4405 UT
Family Nurse Practitioner 363LF0000X 4704378073 MI Primary

Addresses

Primary practice location

1145 S Main St Unit a
Chelsea, MI 48118-1408

Mailing address

9460 Scully Rd
Whitmore Lake, MI 48189-9690
Phone (970) 379-8773

Other practice location 1

2480 Pierce Ave
Ogden, UT 84401-3044
Phone (801) 773-2838

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
I20220713002462 MI Practitioner - Nurse Practitioner 4880001577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Practice addresses (Care Compare)

1401 W N St
Jackson, MI 49202-3135

3235 E Michigan Ave
Jackson, MI 49202-3971

7845 Spring Arbor Rd
Spring Arbor, MI 49283-9785
Phone (517) 205-2580

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Apr 14, 2022 Accepting new patients
W.a. Foote Memorial Hospital, Inc Family CurrentSince Apr 14, 2022 Accepting new patients
Wa Foote Memorial Hospital, Inc PastSince Apr 17, 2022 Accepting new patients
Avail Medical LLC PastSince Oct 1, 2020 Accepting new patients

Locations

1145 S Main St
Unit A
Chelsea, MI 48118
Phone (517) 205-8667

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

1201 E Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1431

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21807/brand/1/csg/1/fhir/r4
  • Direct secure messaging: eball785731@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1295342913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 SCULLY RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899690",
            "telephone_number": "970-379-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S MAIN ST UNIT A",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181408",
            "telephone_number": "517-205-8667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2480 Pierce Ave",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844013044",
            "country_code": "US",
            "telephone_number": "801-773-2838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "EMILY",
        "middle_name": "COREEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "UT",
            "license": "10941553-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704378073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.