Marylou Duron, FNP
Individual provider Active NPI Family Nurse Practitioner · South Haven, MI
NPI 1386106151 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1386106151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704226552 (MI)
- Practice address
- 930 Blue Star Hwy
South Haven, MI 49090-7758 - Phone
- (269) 637-1115
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bronson Lakeview Hospital
Practice addresses (Care Compare)
930 Blue Star Hwy
South Haven, MI 49090-7758
Phone (269) 637-1115
Hospital & facility affiliations
- Corewell Health Lakeland Hospitals St Joseph Hospital
- Bronson South Haven Hospital
- Bronson Lakeview Hospital
- Lakeland Hospital, St Joseph
- Bronson Methodist 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 |
|---|---|---|---|---|
| I20190725001490 | MI | Practitioner - Nurse Practitioner | 8921334194 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704226552 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Lakeview Hospital | Nurse Practitioner | Current |
Accepting new patients |
| Bronson Lakeview Hospital | Current |
Accepting new patients | |
| Giaimo Mobile Podiatry of WV PLLC | Past | Accepting new patients | |
| Onsight, Inc. | Past | Accepting new patients |
Locations
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806
451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725
930 Blue Star Hwy
South Haven, MI 49090
Phone (269) 637-1115
Interoperability endpoints
- direct@direct.bronsonhg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704226552 | MI | Yes |
Addresses
Primary practice location
930 Blue Star Hwy
South Haven, MI 49090-7758
Mailing address
601 John Street
Box 42
Kalamazoo, MI 49007
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson Healthcare Group |
Other providers in South Haven, MI
- Diamond Pointe Assisted Living Facility
- Deborah Sue Distefano
- Lori Jean Dotson
- Aricel Rivera Dunn
- Philip B Durden
- Courtney Dwyer
- Wendy Dykstra
- Eim Services LLC
- Arlynne Mildred Eisner
- Kelly Pinney Ellis
All providers in South Haven, MI · Family 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 Nov 6, 2025. 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.