NPIMap

Individual provider Active NPI

Emily Sue Essendrup, NP

  • Family Nurse Practitioner
  • Iron Mountain, MI
National Provider Identifier
1295494516
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
704306541 Issued in MI
Practice address
930 6TH St
Iron Mountain, MI 49801-2014
Phone
(414) 238-4660
NPI assigned
Dec 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 704306541 MI Primary

Addresses

Primary practice location

930 6TH St
Iron Mountain, MI 49801-2014

Mailing address

930 6TH St
Iron Mountain, MI 49801-2014
Phone (414) 238-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915001615 MI Practitioner - Nurse Practitioner 1456736206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickinson County Healthcare System 103 clinicians

Practice addresses (Care Compare)

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313

Hospital & facility affiliations

  • Marshfield Medical Center Hospital, Iron Mountain, MI, CCN 231342
  • Dickinson County Memorial Hospital Hospital, Iron Mountain, MI, CCN 230055
  • Aspirus Iron River Hospital & Clinics, Inc Hospital, Iron River, MI, CCN 231318

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
704306541MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
Dickinson County Healthcare System Family CurrentSince Aug 1, 2022 Accepting new patients

Locations

1711 S Stephenson Ave
Ste 315
Iron Mountain, MI 49801
Phone (906) 774-6257

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

1010 Olive Ave
Florence, WI 54121
Phone (715) 528-4775

Interoperability endpoints

  • Direct secure messaging: emily.essendrup.1@22710.direct.athenahealth.com
  • Direct secure messaging: emily.essendrup@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1295494516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 6TH ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498012014",
            "telephone_number": "414-238-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 6TH ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498012014",
            "telephone_number": "414-238-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSENDRUP",
        "first_name": "EMILY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "704306541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.