Individual provider Active NPI

Mya Renee Franzo

  • Nurse Practitioner
  • Rockford, MI
National Provider Identifier
1356917124
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704279341 Issued in MI
Practice address
8567 Shaner Ave NE
Rockford, MI 49341-8534
Phone
(989) 293-1252
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704279341 MI Primary

Addresses

Primary practice location

8567 Shaner Ave NE
Rockford, MI 49341-8534

Mailing address

8567 Shaner Ave NE
Rockford, MI 49341-8534
Phone (989) 293-1252

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mfranzo@outlook.com

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
I20210825002823 MI Practitioner - Nurse Practitioner 5092110221 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Age Management of West Michigan PC CurrentSince Aug 19, 2021 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Feb 8, 2023 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Feb 8, 2023 Accepting new patients

Locations

2950 Monroe Ave NE
Grand Rapids, MI 49505
Phone (616) 364-5300

3000 Monroe Ave NE
Grand Rapids, MI 49505
Phone (616) 364-5295

1959 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 285-3700

Interoperability endpoints

  • Direct secure messaging: mfranzo104882@epic00.corewelldirect.org

Organizations & group practices 3

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1356917124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8567 SHANER AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418534",
            "telephone_number": "989-293-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8567 SHANER AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418534",
            "telephone_number": "989-293-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANZO",
        "first_name": "MYA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704279341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfranzo@outlook.com",
            "affiliation": "N",
            "address_1": "8567 Shaner Ave NE",
            "city": "Rockford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493418534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

Verify at the official NPI Registry.