Active NPI
Christina Marie Waugh, NP-C
- Family Nurse Practitioner
- Petoskey, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704328401
- Practice address
- 560 W Mitchell St Ste 400
Petoskey, MI 49770-2274 - Phone
- (231) 487-2490
- NPI assigned
- Jan 18, 2018
- Last updated
- Jan 18, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 4704328401 | MI | Primary |
Addresses
Primary practice location
560 W Mitchell St Ste 400
Petoskey, MI 49770-2274
Mailing address
560 W Mitchell St Ste 400
Petoskey, MI 49770-2274
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000
560 W Mitchell St
Suite 160
Petoskey, MI 49770-2276
Phone (231) 487-3630
560 W Mitchell St
Suite 400
Petoskey, MI 49770-2274
Phone (231) 330-3585
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704328401 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Medical Group | Nurse Practitioner | Current | Accepting new patients |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Northern Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Past | Accepting new patients | |
| McLaren Medical Group | Past | Accepting new patients |
Locations
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
944 N Center Ave
Gaylord, MI 49735
Phone (989) 731-5781
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585
560 W Mitchell St
Ste 402
Petoskey, MI 49770
Phone (231) 487-4760
573 N Bradley Hwy
Rogers City, MI 49779
Phone (989) 734-2171
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1760736094
-
- Family Medicine Physician
- Mt Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1538195409
-
- Internal Medicine Physician
- Flint, MI
- NPI 1780652206
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Mt Pleasant, MI
- NPI 1619941317
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
-
- Critical Access Hospital
- Charlevoix, MI
- NPI 1346260692
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
dba Chippewa County War Memorial Hospital, Inc
- General Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1295756948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516233600000",
"number": "1316455843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST STE 400",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W MITCHELL ST STE 400",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702274",
"telephone_number": "231-487-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAUGH",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2018-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704328401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.