Brock Willett, DNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704354182 Issued in MI

Practice address

4701 Towne Centre Rd Ste 201
Saginaw, MI 48604-2833

Phone

(989) 793-1040

Fax

(989) 792-1792

NPI assigned

Jun 30, 2023

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Narendra R Kumar MD PCGroup PAC ID 0446257034, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Narendra R Kumar M.D, PC

  • Otolaryngology Physician
  • Saginaw, MI
  • NPI 1417039603
  Medicare reassignment Care Compare group NPD
• Sleep Reset Medical Group PA

  • Sleep Medicine (Internal Medicine) Physician
  • San Francisco, CA
  • NPI 1003626797

  MI, Primary Care

  Medicare reassignment NPD
• Sound a Sleep PLC

  • Sleep Medicine (Otolaryngology) Physician
  • Saginaw, MI
  • NPI 1174576102
  NPD (past)

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

• Covenant Medical Center, Inc.

  dba Covenant Healthcare

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1588656946
  Care Compare affiliation

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1306523485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481091382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD STE 201",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042833",
            "telephone_number": "989-793-1040",
            "fax_number": "989-792-1792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S State St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481091382",
            "country_code": "US",
            "telephone_number": "734-764-1817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "BROCK",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-30",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704354182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Wilkerson
• Donald Austin Wilkins, M.D.
• Erin Wilkins
• Angela Marie Wilkinson
• Emily Willard
• Darian Willett, PT, DPT
• William E Mason DDS Ms PC
• Ariele Williams-Davis
• Abbe Williams, NP
• Allison Williams

• Primary Care Nurse Practitioner in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.