Mark Contreras, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704283879 Issued in MI

Practice address

1211 Lafayette Ave NE
Grand Rapids, MI 49505-5092

Phone

(616) 336-8800

Fax

(616) 331-9831

NPI assigned

Jul 2, 2018

Sex

Male

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

Group practices

Catherine'S Health CenterGroup PAC ID 2860615838, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.contreras.1@8492.direct.athenahealth.com

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Catherine'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1205522760

  Corporate Director

  CMS ownership
• Catherine'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1275429888

  W-2 Managing Employee

  CMS ownership
• Catherine'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1407742018

  W-2 Managing Employee

  CMS ownership
• Catherine'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1417726597

  Corporate Director

  CMS ownership
• Catherine'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1619740305

  Corporate Director

  CMS ownership
• Catherine'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1740098169

  W-2 Managing Employee

  CMS ownership
• Catherine'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1811427826

  W-2 Managing Employee

  CMS ownership
• Catherine'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Wyoming, MI
  • NPI 1861223521

  Corporate Director

  CMS ownership
• Catherine'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Kentwood, MI
  • NPI 1881463958

  Corporate Director

  CMS ownership
• Catherines Health Center

  • Federally Qualified Health Center (FQHC)
  • Wyoming, MI
  • NPI 1134872005

  Corporate Director

  CMS ownership
• Catherines Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1598367740

  W-2 Managing Employee

  CMS ownership
• Catherines Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1669074415

  W-2 Managing Employee

  CMS ownership

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.

• Catherine'S Health Center

  • Clinic/Center
  • Grand Rapids, MI
  • NPI 1912055872
  Medicare reassignment Care Compare group NPD
• Catherine'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1407742018
  NPD
• Catherine'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1811427826
  NPD

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

• Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation
• Spectrum Health Hospitals

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554
  Care Compare affiliation

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1477049518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 LAFAYETTE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055092",
            "telephone_number": "616-336-8800",
            "fax_number": "616-331-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 LAFAYETTE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055092",
            "telephone_number": "616-336-8800",
            "fax_number": "616-331-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "MARK",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704283879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Conterato, MD
• James Philip Conterato, M.D.
• Sabahat Contractor
• Cecelia Maria Contreras, BT
• Maria Contreras
• Sarai Contreras, LLMSW
• Arielle Converse
• Loriellen Marie Converse, RN CNP
• Jeffrey Alan Conway, MD
• Patrick W. Conway, D.O.

• Adult Health Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.