Brock Patrick Barnett
Individual provider Active NPI Nurse Practitioner · Saint Joseph, MI
NPI 1346922341 · NPPES record last updated Jan 26, 2024
Key facts
- NPI
- 1346922341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704260846 (MI)
- Practice address
- 3950 Hollywood Rd Ste 110
Saint Joseph, MI 49085-9151 - Phone
- (269) 985-1000
- NPI assigned
- Aug 1, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeland Hospitals at Niles and St Joseph Inc
Practice addresses (Care Compare)
3950 Hollywood Rd
Saint Joseph, MI 49085-9151
Phone (269) 985-1000
Hospital & facility affiliations
- Lakeland Hospital, St Joseph
- Corewell Health Watervliet 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 |
|---|---|---|---|---|
| I20240108003566 | MI | Practitioner - Nurse Practitioner | 4082065727 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704260846 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Medical Practices | Current |
Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current |
Accepting new patients | |
| Lakeland Medical Practices | Current |
Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current |
Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current |
Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current |
Accepting new patients | |
| Pathology Assoc of Southwestern Michigan, PC | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients |
Locations
7040 Red Arrow Hwy
Coloma, MI 49038
Phone (269) 468-4318
31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417
3950 Hollywood Rd
Ste 110
Saint Joseph, MI 49085
Phone (269) 985-1000
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
Interoperability endpoints
- bbarnett176852@epic00.corewelldirect.org
- https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704260846 | MI | |
| Nurse Practitioner | 363L00000X | 4704260846 | MI | Yes |
Addresses
Primary practice location
3950 Hollywood Rd Ste 110
Saint Joseph, MI 49085-9151
Mailing address
3950 Hollywood Rd Ste 110
Saint Joseph, MI 49085-9151
Other practice location 1
2460 Burton St SE Ste 300
Grand Rapids, MI 49546-4800
Phone (616) 805-3846
Other providers in Saint Joseph, MI
- Alina McBride Baltazar
- John L Bard
- Savannah Rose Bares
- Thomas Christopher Barker
- Michelle Barnes
- Maureen Rowley Barnett
- Barrett and Driscoll,MD'S,PC
- Prudence Lynn Barrett
- Ashley Barrios
- Margaret Barta
All providers in Saint Joseph, MI · 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 Jan 26, 2024. 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.