Individual provider Active NPI

Joseph Horetski, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Auburn, MI
National Provider Identifier
1306530548
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704300351 Issued in MI
Practice address
946 W Midland Rd
Auburn, MI 48611-9400
Phone
(989) 266-3188
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704300351 MI Primary

Addresses

Primary practice location

946 W Midland Rd
Auburn, MI 48611-9400

Mailing address

946 W Midland Rd
Auburn, MI 48611-9400
Phone (989) 266-3188

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
I20230613002793 MI Practitioner - Nurse Practitioner 9931566510 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Bay Health PLLCGroup PAC ID 3577963404, 10 clinicians

Practice addresses (Care Compare)

946 W Midland Rd
Auburn, MI 48611-9400
Phone (989) 266-3188

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Bay Health PLLC CurrentSince Jun 1, 2023 Accepting new patients
Serenity Bay Health PLLC PastSince Jun 1, 2023 Accepting new patients

Locations

946 W Midland Rd
Auburn, MI 48611
Phone (989) 266-3188

1426 Straits Dr
Bay City, MI 48706
Phone (989) 266-3188

204 W Buttles St
Midland, MI 48640

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1306530548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 W MIDLAND RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119400",
            "telephone_number": "989-266-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 W MIDLAND RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119400",
            "telephone_number": "989-266-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORETSKI",
        "first_name": "JOSEPH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704300351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MI

Sources for this page

Verify at the official NPI Registry.