Active NPI
Janet Hostetler, C.N.P.
- Women's Health Nurse Practitioner
- Grand Rapids, MI
National Provider Identifier
1447236765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 4704291697
- Practice address
- 245 Cherry St SE
Ste 306
Grand Rapids, MI 49503-4607 - Phone
- (616) 685-8750
- NPI assigned
- Dec 19, 2005
- Last updated
- Aug 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 4704291697 | MI | Primary |
Addresses
Primary practice location
245 Cherry St SE
Ste 306
Grand Rapids, MI 49503-4607
Mailing address
245 State St SE
Grand Rapids, MI 49503-4328
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HONP07061 | Other | MEDICARE PTAN | |
| CA1586 | Other | GROUP MEDICARE RAILROAD | |
| 500015909 | Other | MEDICARE RAILROAD PIN | |
| 0700191 | Other | UHC PIN | |
| 0989499 | Other | OH | GROUP MEDICAID |
| 2013430 | Medicaid | OH | |
| 311413469054 | Other | CARESOURCE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704291697 | MI | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1447236765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 STATE ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 CHERRY ST SE",
"address_2": "STE 306",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034607",
"telephone_number": "616-685-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSTETLER",
"first_name": "JANET",
"credential": "C.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MI",
"license": "4704291697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "HONP07061",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE RAILROAD",
"identifier": "CA1586",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PIN",
"identifier": "500015909",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PIN",
"identifier": "0700191",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "0989499",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2013430",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE PIN",
"identifier": "311413469054",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.