Oksana Lidke

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704290342 Issued in MI

Practice address

395 S Shore Dr
Battle Creek, MI 49014-5466

Phone

(947) 217-3212

NPI assigned

Jan 24, 2019

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• GL Momentum PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Battle Creek, MI
  • NPI 1003505363
  Medicare reassignment NPD Authorized official
• Recovery Physicians Network of Michigan

  • Addiction (Substance Use Disorder) Psychologist
  • Auburn Hills, MI
  • NPI 1689343683

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Thomas Park M.D. PC

  • Preferred Provider Organization
  • Southfield, MI
  • NPI 1881904605
  Medicare reassignment NPD
• A Better Tomorrow Counseling and Consultation Services, LLC

  • Mental Health Counselor
  • Redford, MI
  • NPI 1962763052
  NPD (past)
• The Children's Center of Wayne Co., Inc.

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1528145844
  NPD (past)

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1427512425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18753 174TH AVE",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569772",
            "telephone_number": "231-246-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S SHORE DR",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145466",
            "telephone_number": "947-217-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDKE",
        "first_name": "OKSANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-02-06",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704290342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yisroel Levine, LNHA
• Anthony M Lewis, PHARMD
• Debra L Lewis, DMIN
• Rhonda Lewis
• Ralph Liang
• Peggy Sue Liechti, APRN BC
• Nazzareno Liegghio, DO
• Life Matters Counseling Services, PLLC
• Lifecare Ambulance
• Lifetime Dental Care of Michigan, P.C. (Capital Avenue Dental Care)

• Psychiatric/Mental Health Nurse Practitioner in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.