Julie Ann Mardauss-Kahler, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704165835 Issued in MI

Practice address

5991 95TH Ave
Evart, MI 49631-9386

Phone

(231) 734-5561

Fax

(231) 734-6438

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reed City Hospital Corporation 32 clinicians

Mecosta County Medical Center 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Home Care Home health agency, Traverse City, MI, CCN 237025
• Residential Home Health and Hospice Home health agency, Saginaw, MI, CCN 239152
• Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093
• Corewell Health Reed City Hospital Hospital, Reed City, MI, CCN 231323

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmardausskahler43187@epic00.corewelldirect.org
• Direct secure messaging: rmarin78569@epic00.shdirect.org

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.

• Mecosta County Medical Center

  • Cardiovascular Disease Physician
  • Big Rapids, MI
  • NPI 1386693471

  MI

  Medicare reassignment Care Compare group NPD
• Reed City Hospital Corporation

  • Family Medicine Physician
  • Reed City, MI
  • NPI 1831253798

  MI

  Medicare reassignment Care Compare group NPD
• Mecosta County Medical Center

  • General Acute Care Hospital
  • Big Rapids, MI
  • NPI 1316945991
  Care Compare group NPD
• Mecosta County Medical Center

  • Rural Health Clinic/Center
  • Big Rapids, MI
  • NPI 1184912396
  Care Compare group
• Mecosta County Medical Center

  • Rural Health Clinic/Center
  • Canadian Lakes, MI
  • NPI 1477973493
  Care Compare group
• Mecosta County Medical Center

  • Rural Health Clinic/Center
  • Evart, MI
  • NPI 1669935615
  Care Compare group
• Mecosta County Medical Center

  • Rural Health Clinic/Center
  • Big Rapids, MI
  • NPI 1891109591
  Care Compare group
• Reed City Hospital Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Reed City, MI
  • NPI 1346340759
  Care Compare group
• Reed City Hospital Corporation

  • Critical Access Hospital
  • Reed City, MI
  • NPI 1437259843
  Care Compare group
• Reed City Hospital Corporation

  • Skilled Nursing Facility
  • Reed City, MI
  • NPI 1497867576
  Care Compare group
• Reed City Hospital Corporation

  • Rural Health Clinic/Center
  • Reed City, MI
  • NPI 1730280025
  Care Compare group
• Mecosta County Medical Center

  • Family Medicine Physician
  • Big Rapids, MI
  • NPI 1366730566

  Nurse Practitioner

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mecosta County Medical Center

  • General Acute Care Hospital
  • Big Rapids, MI
  • NPI 1316945991

  Hospital

  Care Compare affiliation
• Munson Home Care

  • Home Health Agency
  • Traverse City, MI
  • NPI 1326002577
  Care Compare affiliation
• Reed City Hospital Corporation

  • Critical Access Hospital
  • Reed City, MI
  • NPI 1437259843

  Hospital

  Care Compare affiliation
• Residential Home Health and Hospice, Inc.

  • Home Health Agency
  • Saginaw, MI
  • NPI 1083341168
  Care Compare affiliation

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1386743763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 95TH AVE",
            "city": "EVART",
            "state": "MI",
            "postal_code": "496319386",
            "telephone_number": "231-734-5561",
            "fax_number": "231-734-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDAUSS-KAHLER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704165835",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704165835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmarin78569@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "5991 95th Ave",
            "city": "Evart",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496319386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5991 95th Ave",
            "city": "Evart",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496319386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary D Kruithoff, LPC
• Michelle Lynn Ladd
• Mary Little
• Ladawn M Logic, FNP-C
• Debra Kay Macdonald, L.P.N.
• Mecosta County Medical Center
• Mecosta County Medical Center
• Muskegon River Youth Home, Inc.
• Mymichigan Medical Center Clare
• Gerald A Nichols, D.C.

• All providers in Evart, MI
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.