Active NPI
Justin Daniel Donoghue
- Family Nurse Practitioner
- Muskegon, MI
National Provider Identifier
1295346104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704313630
- Practice address
- 71 Hughey St
Muskegon, MI 49445-2115 - Phone
- (989) 280-3799
- NPI assigned
- Aug 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 4704313630 | MI | Primary |
Addresses
Primary practice location
71 Hughey St
Muskegon, MI 49445-2115
Mailing address
71 Hughey St
Muskegon, MI 49445-2115
Phone (989) 280-3799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704313630 | Medicaid | MI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jddonoghue@goshen.edu | Direct | |
| Direct Messaging Address | jddonoghue@goshen.edu | Direct |
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3875 Bay Rd
Saginaw, MI 48603-2417
Phone (989) 583-5300
Hospital & facility affiliations
- Covenant Medical Center
- Scheurer Hospital
- Mymichigan Medical Center Midland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704313630 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Current | Accepting new patients | |
| Satnam Medical PLLC | Past | Accepting new patients |
Locations
3875 Bay Rd
Saginaw, MI 48603
Phone (989) 583-5370
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
900 Cooper Ave
Ste 4300
Saginaw, MI 48602
Phone (989) 583-7460
Interoperability endpoints
- jdonoghue192734@direct.trinity-health.org
- jdonoghue145643@direct.covenanthealthcare.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- Internal Medicine Physician
- Saginaw, MI
- NPI 1811132616
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
- Critical Access Hospital
- Pigeon, MI
- NPI 1437102993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1295346104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 HUGHEY ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494452115",
"telephone_number": "989-280-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HUGHEY ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494452115",
"telephone_number": "989-280-3799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOGHUE",
"first_name": "JUSTIN",
"middle_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704313630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4704313630",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jddonoghue@goshen.edu",
"affiliation": "N",
"endpointDescription": "Goshen College Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "71 Hughey St",
"city": "Muskegon",
"state": "MI",
"country_code": "US",
"postal_code": "494452115",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jddonoghue@goshen.edu",
"affiliation": "N",
"endpointDescription": "Goshen College Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "71 Hughey St",
"city": "Muskegon",
"state": "MI",
"country_code": "US",
"postal_code": "494452115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.