Individual provider Active NPI

Marcy S Durie, N.P.-C

  • Family Nurse Practitioner
  • Petoskey, MI
National Provider Identifier
1396085890
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704170058 Issued in MI
Practice address
820 Arlington Ave
Petoskey, MI 49770-2469
Phone
(231) 487-9355
NPI assigned
Feb 20, 2013
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704170058 MI Primary

Addresses

Primary practice location

820 Arlington Ave
Petoskey, MI 49770-2469

Mailing address

820 Arlington Ave
Petoskey, MI 49770-2469
Phone (231) 487-9355

Other names 1

  • Marcy Sue Pratt Former name

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
I20230714000235 MI Practitioner - Nurse Practitioner 8527296417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians

Practice addresses (Care Compare)

1221 S Dr
Mount Pleasant, MI 48858-3257
Phone (989) 772-6811

1890 US Hwy 131
Unit 4
Petoskey, MI 49770-8344
Phone (231) 487-2000

416 Connable Ave
Petoskey, MI 49770-2212
Phone (800) 248-6777

560 W Mitchell St
Suite C70
Petoskey, MI 49770-2275
Phone (231) 487-7200

820 Arlington Ave
Petoskey, MI 49770-2469
Phone (231) 487-9355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704170058MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan Current Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Oct 21, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Jul 17, 2023 Accepting new patients
McLaren Central Michigan CurrentSince Jul 17, 2023 Accepting new patients
McLaren Central Michigan Past Accepting new patients

Locations

4543 S M 88 Hwy
Bellaire, MI 49615
Phone (231) 533-8661

1728 S Peninsula Rd
East Jordan, MI 49727
Phone (231) 536-2286

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

820 Arlington Ave
Petoskey, MI 49770
Phone (231) 487-3955

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1396085890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ARLINGTON AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702469",
            "telephone_number": "231-487-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 ARLINGTON AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702469",
            "telephone_number": "231-487-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURIE",
        "first_name": "MARCY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704170058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCY",
            "last_name": "PRATT",
            "middle_name": "SUE",
            "credential": "N.P.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.