Aaron T Misner, NP
Individual provider Active NPI General Practice Physician · Port Huron, MI
NPI 1356812697 · NPPES record last updated Dec 16, 2018
Key facts
- NPI
- 1356812697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 4704286735 (MI)
- Practice address
- 2601 Electric Ave
Port Huron, MI 48060-6587 - Phone
- (810) 216-1500
- NPI assigned
- Dec 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
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 |
|---|---|---|---|---|
| I20191031001388 | MI | Practitioner - Nurse Practitioner | 6406188093 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Michigan Hospitalists PLLC | Current |
Accepting new patients | |
| Prime Healthcare Services-Port Huron LLC | Current |
Accepting new patients | |
| Prime Healthcare Services-Port Huron LLC | Current |
Accepting new patients | |
| Prime Healthcare Services-Port Huron LLC | Past | Accepting new patients |
Locations
2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500
2601 Electric Ave
#C
Port Huron, MI 48060
Phone (810) 216-1500
1217 Kearney St
Ste 2
Port Huron, MI 48060
Phone (810) 990-8302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4704286735 | MI | Yes |
Addresses
Primary practice location
2601 Electric Ave
Port Huron, MI 48060-6587
Mailing address
22419 Milner St
Saint Clair Shores, MI 48081-2078
Phone (586) 876-2122
Other providers in Port Huron, MI
- Meredith Mills
- Michael Miloch
- Maurizio Mirabelli
- Craig Mirkin
- Bobbie Miron
- Jeffrey Mitchell
- John Charles Mitchell
- Linda L Mitchell
- Reva D. Mitchell
- Sharon J Mitchell
All providers in Port Huron, MI · General Practice Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2018. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.