Individual provider Active NPI

Maaike Marjet Wallenstein, FNP-C

  • Family Nurse Practitioner
  • Albion, MI
National Provider Identifier
1467022475
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704297806 Issued in MI
Practice address
13725 Starr Commonwealth Rd # RS
Albion, MI 49224-9525
Phone
(635) 410-7101
NPI assigned
Jun 30, 2021
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 4704297806 MI Primary

Addresses

Primary practice location

13725 Starr Commonwealth Rd # RS
Albion, MI 49224-9525

Mailing address

7019 Inverness Dr
Kalamazoo, MI 49009-3933

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
I20220429000399 MI Practitioner - Nurse Practitioner 8820485410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Ottawa Ave NW FL
5 Base of Operations
Grand Rapids, MI 49503-2304
Phone (732) 813-0799

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
85.89
Promoting interoperability
0
Improvement activities
40
Cost
66.9

Merit-based Incentive Payment System (MIPS)

Final score
91.21 of 100Reported as group
Quality
88.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Sports and Spine Center PC CurrentSince Apr 1, 2024 Accepting new patients
Total Extended Care Services PC CurrentSince May 7, 2024 Accepting new patients
SNF Physiatry Services Mi PLLC CurrentSince Apr 7, 2025 Accepting new patients
Infusion Associates of Ohio LLC PastSince May 16, 2022 Accepting new patients

Locations

725 Fuller Ave
Big Rapids, MI 49307
Phone (231) 796-2631

540 Sunnyside Dr
Flushing, MI 48433
Phone (810) 487-0045

300 Ottawa Ave NW
Fl 5
Grand Rapids, MI 49503

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

25375 Kelly Rd
Roseville, MI 48066
Phone (586) 733-6022

1819 E Big Beaver Rd
Ste 210
Troy, MI 48083
Phone (248) 680-9000

185 Route 70
Ste 302
Toms River, NJ 08755
Phone 7328130799105

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1467022475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7019 INVERNESS DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 STARR COMMONWEALTH RD # RS",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492249525",
            "telephone_number": "635-410-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLENSTEIN",
        "first_name": "MAAIKE",
        "middle_name": "MARJET",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704297806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, MI

Sources for this page

Verify at the official NPI Registry.