Active NPI
Cynthia Judy-Ann Kreil, CFNP
- Nurse Practitioner
- Saginaw, MI
National Provider Identifier
1346238185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704109447
- Practice address
- 1522 Janes Ave
Saginaw, MI 48601-1819 - Phone
- (989) 755-0316
- Fax
- (989) 755-0956
- NPI assigned
- Oct 6, 2005
- Last updated
- Mar 10, 2011
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704109447 | MI | Primary |
Addresses
Primary practice location
1522 Janes Ave
Saginaw, MI 48601-1819
Mailing address
501 Lapeer Ave
Saginaw, MI 48607-1208
Phone (989) 759-6464
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346238185 | Medicaid | MI | |
| 500016830 | Other | RAILROAD MEDICARE | |
| 139495 | Other | GREAT LAKES HEALTH PLAN | |
| 1011080 | Other | MCLAREN HEALTH PLAN | |
| 115 | Other | COMMUNITY CHOICE OF MI | |
| 1011080 | Other | HEALTH ADVANTAGE PPO | |
| 500G310570 | Other | BCBS OF MICHIGAN | |
| 4278657 | Other | MOLINA HEALTH CARE OF MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704109447 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Lakes Bay Health Centers | Past | Accepting new patients | |
| Great Lakes Bay Health Centers | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Great Lakes Bay Health Centers Integrated Care Midland
- Federally Qualified Health Center (FQHC)
- Midland, MI
- NPI 1609609536
-
- Obstetrics & Gynecology Physician
- Saginaw, MI
- NPI 1871684761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1346238185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LAPEER AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486071208",
"telephone_number": "989-759-6464",
"fax_number": "989-399-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 JANES AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486011819",
"telephone_number": "989-755-0316",
"fax_number": "989-755-0956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIL",
"first_name": "CYNTHIA",
"middle_name": "JUDY-ANN",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704109447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346238185",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500016830",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "139495",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "1011080",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE OF MI",
"identifier": "115",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ADVANTAGE PPO",
"identifier": "1011080",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "500G310570",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH CARE OF MI",
"identifier": "4278657",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.