Debra Klinger
Individual provider Active NPI Family Nurse Practitioner · Vicksburg, MI
NPI 1346607447 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1346607447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F09151395 (MI)
- Practice address
- 13320 N Boulevard St
Vicksburg, MI 49097-1514 - Phone
- (269) 649-2012
- Fax
- (269) 649-3752
- NPI assigned
- Jan 20, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bronson Methodist Hospital
Practice addresses (Care Compare)
13320 N Boulevard St
Bronson Family Medicine
Vicksburg, MI 49097-1514
Phone (269) 649-2012
Hospital & facility affiliations
- Bronson at Home Healthcare Services
- Centrica Care Navigators
- Bronson Methodist Hospital
- Bronson Lakeview Hospital
- Bronson Battle Creek Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160314001995 | MI | Practitioner - Nurse Practitioner | 6608172846 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09151395 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Methodist Hospital | Current |
Accepting new patients |
Locations
300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
13320 N Boulevard St
Vicksburg, MI 49097
Phone (269) 649-2012
Interoperability endpoints
- direct@direct.bronsonhg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F09151395 | MI | Yes |
Addresses
Primary practice location
13320 N Boulevard St
Vicksburg, MI 49097-1514
Mailing address
13320 N Boulevard St
Vicksburg, MI 49097-1514
Phone (269) 649-2012
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct |
Other providers in Vicksburg, MI
- Journey Toward Hope Counseling
- Ian Christopher Kelley
- Karl Robert Kerchief
- Kevin Palmer Chiropractic
- Jo Lynne Kirchhoff
- Lan Medical
- Olivia Lewis
- Melanie Elaine Louis Consolino
- Patricia Ann Lyman
- Brittany Lyons
All providers in Vicksburg, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.