Individual provider Active NPI

Christine Margaret Rattin, DO

  • Cardiovascular Disease Physician
  • Iron Mountain, MI
National Provider Identifier
1396844700
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101012398 Issued in MI
Practice address
1711 S Stephenson Ave
Iron Mountain, MI 49801-3639
Phone
(906) 828-2576
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 39079 SC
Cardiovascular Disease Physician 207RC0000X 2004023923 MO
Cardiovascular Disease Physician 207RC0000X 21376-875 WI
Cardiovascular Disease Physician 207RC0000X 78275 MN
Cardiovascular Disease Physician 207RC0000X 5101012398 MI Primary

Addresses

Primary practice location

1711 S Stephenson Ave
Iron Mountain, MI 49801-3639

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222

Other practice location 1

610 S Lincoln Rd
Escanaba, MI 49829-1215
Phone (906) 786-6488

Other practice location 2

704 N Pine St
Seneca, SC 29678-2637
Phone (864) 886-9300

Other identifiers 1

IdentifierTypeStateIssuer
10001769200OtherMOCOMMUNITY HEALTH PLAN

Other names 1

  • Christine M Jack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI, MN, SD4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040802001018 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840261178 Reassigns benefits to 4 organizations
I20211027000412 WI Practitioner - Cardiovascular Disease (Cardiology) 0840261178 Reassigns benefits to 1 organization
I20250103001469 MN Practitioner - Cardiovascular Disease (Cardiology) 0840261178 Reassigns benefits to 1 organization
I20250122003632 SD Practitioner - Cardiovascular Disease (Cardiology) 0840261178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000

1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
12093NDMDPharmacist
39079SCMDCardiovascular Disease Physician
14668CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc Cardiovascular Disease Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Nov 25, 2024 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Nov 11, 2024 Accepting new patients
McLaren Northern Michigan CurrentSince Nov 6, 2024 Accepting new patients
St Francis Hospital CurrentSince Oct 2, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
McLaren Medical Group CurrentSince Nov 13, 2024 Accepting new patients
St. Francis Hospital Current Accepting new patients
Bellin Memorial Hospital Inc Cardiovascular Disease CurrentSince Sep 14, 2020 Accepting new patients
McLaren Medical Group CurrentSince Nov 13, 2024 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
McLaren Northern Michigan CurrentSince Nov 6, 2024 Accepting new patients
Bellin Memorial Hospital CurrentSince Oct 20, 2021 Accepting new patients
St. Francis Hospital CurrentSince Oct 2, 2023 Accepting new patients
Research Cardiology Associates, LLC Cardiovascular Disease Past Accepting new patients
Ohh Rural Clinics, LLC. Cardiovascular Disease Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Midwestern Health Management, Inc. Past Accepting new patients
Heartland Regional Medical Center Past Accepting new patients
Heartland Regional Medical Center Cardiovascular Disease Past Accepting new patients

Locations

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

3409 Ludington St
Ste 206
Escanaba, MI 49829
Phone (906) 786-7471

610 S Lincoln Rd
Escanaba, MI 49829
Phone (906) 786-6488

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

1711 S Stephenson Ave
Ste 215
Iron Mountain, MI 49801
Phone (906) 776-5955

1414 W Fair Ave
Ste 390
Marquette, MI 49855
Phone (906) 225-3881

560 W Mitchell St
Ste 402
Petoskey, MI 49770
Phone (231) 487-4760

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

744 S Webster Ave
Fl 2
Green Bay, WI 54301

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1396844700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013639",
            "telephone_number": "906-828-2576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 S Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498291215",
            "country_code": "US",
            "telephone_number": "906-786-6488",
            "fax_number": "906-786-6409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 N Pine St",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296782637",
            "country_code": "US",
            "telephone_number": "864-886-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATTIN",
        "first_name": "CHRISTINE",
        "middle_name": "MARGARET",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "39079",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2004023923",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "21376-875",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "78275",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101012398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "10001769200",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "JACK",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.