Individual provider Active NPI

Cynthia Joy Papendick, MS APRN PMH CS

  • Psychiatric/Mental Health Nurse Practitioner
  • Union Pier, MI
National Provider Identifier
1366423899
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704169270 Issued in MI
Practice address
16170 Red Arrow Hwy
Suite C8
Union Pier, MI 49129-9473
Phone
(269) 470-0832
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704169270 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704169270 MI Primary

Addresses

Primary practice location

16170 Red Arrow Hwy
Suite C8
Union Pier, MI 49129-9473

Mailing address

16170 Red Arrow Hwy
Suite C8
Union Pier, MI 49129-9473
Phone (269) 470-0832

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
I20120330000132 MI Practitioner - Nurse Practitioner 8123030186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18605 US Hwy 12
New Buffalo, MI 49117-8102
Phone (269) 469-1266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704169270MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia J Papendick Inc CurrentSince Oct 1, 2016 Accepting new patients
Cynthia Papendick Aprn BC Inc Nurse Practitioner PastSince Jan 1, 2006 Accepting new patients
Nasr Psychiatric Services, P.C. PastSince Apr 1, 1990 Accepting new patients
Psychiatric and Psychological Specialties PastSince May 14, 2023 Accepting new patients
Psychiatric Specialties, PLC PastSince Nov 13, 2022 Accepting new patients

Locations

18605 US Highway 12
New Buffalo, MI 49117
Phone (269) 469-1266

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27120/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1366423899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 RED ARROW HWY",
            "address_2": "SUITE C8",
            "city": "UNION PIER",
            "state": "MI",
            "postal_code": "491299473",
            "telephone_number": "269-470-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16170 RED ARROW HWY",
            "address_2": "SUITE C8",
            "city": "UNION PIER",
            "state": "MI",
            "postal_code": "491299473",
            "telephone_number": "269-470-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPENDICK",
        "first_name": "CYNTHIA",
        "middle_name": "JOY",
        "credential": "MS APRN PMH CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704169270",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704169270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union Pier, MI

Sources for this page

Verify at the official NPI Registry.