Individual provider Active NPI

Erin Leslie Osborn, ANP-C

  • Adult Health Nurse Practitioner
  • Tawas City, MI
National Provider Identifier
1316379084
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704264068 Issued in MI
Practice address
295 Maple St
Suite 200
Tawas City, MI 48763-9352
Phone
(989) 984-3788
Fax
(989) 984-3794
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704264068 MI
Adult Health Nurse Practitioner 363LA2200X 4704264068 MI Primary

Addresses

Primary practice location

295 Maple St
Suite 200
Tawas City, MI 48763-9352

Mailing address

295 Maple St Ste 200
Tawas City, MI 48763-9352
Phone (989) 984-3788

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erinhill@smomsjhs.allscriptsdirect.net

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
I20131217000972 MI Practitioner - Nurse Practitioner 0446487532 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704264068MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Jan 1, 2025 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan CurrentSince Jan 1, 2025 Accepting new patients
McLaren Central Michigan PastSince Mar 13, 2022 Accepting new patients
McLaren Central Michigan Past Accepting new patients

Locations

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

4489 M 61
Ste 1
Standish, MI 48658
Phone (989) 846-2600

4489 M 61
Standish, MI 48658
Phone (989) 846-2600

200 Hemlock Rd
Tawas City, MI 48763
Phone (989) 362-3411

312 W M 55
Tawas City, MI 48763
Phone (989) 362-8615

2110 S M 76
Ste 6
West Branch, MI 48661
Phone (989) 345-1184

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1316379084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MAPLE ST STE 200",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639352",
            "telephone_number": "989-984-3788",
            "fax_number": "989-984-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MAPLE ST",
            "address_2": "SUITE 200",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639352",
            "telephone_number": "989-984-3788",
            "fax_number": "989-984-3794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "ERIN",
        "middle_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704264068",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704264068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erinhill@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "295 Maple St",
            "address_2": "SUITE 200",
            "city": "Tawas City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487639352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tawas City, MI

Sources for this page

Verify at the official NPI Registry.