Individual provider Active NPI

Teresa McDonald, FNP-BC

  • Family Nurse Practitioner
  • Caro, MI
National Provider Identifier
1356727374
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704237926 Issued in MI
Practice address
220 E. Frank St
Caro, MI 48723-0435
Phone
(989) 673-4126
Fax
(989) 672-5150
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704237926 MI Primary

Addresses

Primary practice location

220 E. Frank St
Caro, MI 48723-0435

Mailing address

220 E. Frank St
Caro, MI 48723-0435
Phone (989) 673-4126

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
I20150921002713 MI Practitioner - Nurse Practitioner 1052628252 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704237926MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Feb 4, 2022 Accepting new patients
Flushing Urgent Care PLC CurrentSince Oct 1, 2015 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Feb 4, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Integrated Physician Solutions PC PastSince Aug 17, 2015 Accepting new patients

Locations

3220 W Silver Lake Rd
Fenton, MI 48430
Phone (810) 208-7470

6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1356727374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E. FRANK ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487230435",
            "telephone_number": "989-673-4126",
            "fax_number": "989-672-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E. FRANK ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487230435",
            "telephone_number": "989-673-4126",
            "fax_number": "989-672-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "TERESA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704237926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

Verify at the official NPI Registry.