Active NPI
Maaike Marjet Wallenstein, FNP-C
- Family Nurse Practitioner
- Albion, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704297806
- Practice address
- 13725 Starr Commonwealth Rd # RS
Albion, MI 49224-9525 - Phone
- (635) 410-7101
- NPI assigned
- Jun 30, 2021
- Last updated
- Aug 23, 2021
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Quality
- 85.89
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 66.9
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.21 of 100
- Quality
- 88.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Sports and Spine Center PC | Current | Accepting new patients | |
| Total Extended Care Services PC | Current | Accepting new patients | |
| SNF Physiatry Services Mi PLLC | Current | Accepting new patients | |
| Infusion Associates of Ohio LLC | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Livonia, MI
- NPI 1205887262
-
dba American Physiatry
- Physical Medicine & Rehabilitation Physician
- Douglas, MI
- NPI 1740018951
-
- Physical Medicine & Rehabilitation Physician
- Englewood, OH
- NPI 1699522029
MI
-
- Infusion Therapy Clinic/Center
- Toledo, OH
- NPI 1144966466
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
- Tendercare (Michigan) Inc. (Tendercare Health Center of Albion)
- Brian Thomas, ATC, PTA
- Megan Thrum
- Barbara Jean Topa, RN
- W a Foote Memorial Hospital Inc (Henry Ford Allegiance Health)
- Ginger Marie Wanamaker, LPN
- Judy Woodlief Warren, D.D.S.
- Washington and Associates Home Health Systems Inc
- Sarah Wasil, MA, LPC
- Kristi Wichmann, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.