Individual provider Active NPI

Hannah Rose Duby, DNP, AGNP-C

  • Nurse Practitioner
  • Petoskey, MI
National Provider Identifier
1336708643
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704290209 Issued in MI
Practice address
560 W Mitchell St Ste 400
Petoskey, MI 49770-2274
Phone
(231) 487-2490
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704290209 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
Phone (231) 487-2490

Other names 1

  • Ms. Hannah Rose Ciesla Former name

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
I20191105001935 MI Practitioner - Nurse Practitioner 2668704966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Northern MichiganGroup PAC ID 9931018181, 60 clinicians
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians

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

  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105
  • McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080
  • Chippewa County War Memorial Hospital Hospital, Sault Ste Marie, MI, CCN 230239
  • Charlevoix Area Hospital Hospital, Charlevoix, MI, CCN 231322
  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Sep 1, 2020 Accepting new patients
McLaren Medical Group Nurse Practitioner CurrentSince Jan 24, 2024 Accepting new patients
McLaren Medical Group CurrentSince Jan 24, 2024 Accepting new patients
McLaren Northern Michigan CurrentSince Nov 15, 2023 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan CurrentSince Sep 1, 2020 Accepting new patients
McLaren Northern Michigan CurrentSince Nov 15, 2023 Accepting new patients
McLaren Central Michigan Past Accepting new patients

Locations

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

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

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

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1336708643",
    "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",
            "telephone_number": "231-487-2490"
        },
        {
            "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": "DUBY",
        "first_name": "HANNAH",
        "middle_name": "ROSE",
        "credential": "DNP, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704290209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "CIESLA",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.