Active NPI
Josephine Anne Vincent, FNP-C
- Family Nurse Practitioner
- Gaylord, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704272967
- Practice address
- 1996 Walden Dr
Gaylord, MI 49735-8241 - Phone
- (989) 731-4111
- Fax
- (989) 705-8511
- NPI assigned
- Nov 21, 2020
- Last updated
- Aug 25, 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 | 4704272967 | MI | Primary |
Addresses
Primary practice location
1996 Walden Dr
Gaylord, MI 49735-8241
Mailing address
1996 Walden Dr
Gaylord, MI 49735-8241
Phone (989) 731-4111
Other practice location 1
10215 Ellsworth Rd
East Jordan, MI 49727-9128
Phone (231) 838-7977
Other practice location 2
3860 S Straits Hwy
Indian River, MI 49749-5146
Phone (231) 238-0581
Other practice location 3
3040 Bourn St
Lewiston, MI 49756-8134
Phone (989) 786-4877
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704272967 | MI | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| East Jordan Family Health Center | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| East Jordan Family Health Center | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients |
Locations
4955 S M 88 Hwy
Bellaire, MI 49615
Phone (231) 533-8649
601 Bridge St
East Jordan, MI 49727
Phone (231) 536-2206
1996 Walden Dr
Gaylord, MI 49735
Phone (517) 731-4111
829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
3040 Bourn St
Lewiston, MI 49756
Phone (989) 731-7777
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- josephine.vincent.p1@direct.ejfhc.nextgenshare.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- East Jordan, MI
- NPI 1114958691
-
dba Munson Healthcare OMH Medical Group-Gaylord RHC
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1164628426
-
dba Bellaire Family Health Center
- Federally Qualified Health Center (FQHC)
- Bellaire, MI
- NPI 1376750091
-
dba Munson Healthcare OMH Walk-In Clinic RHC
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1093911364
-
dba MHC Great Lakes Plastic Surgery & Skin Center- Petoskey
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1487257382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1996 WALDEN DR",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497358241",
"telephone_number": "989-731-4111",
"fax_number": "989-705-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1996 WALDEN DR",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497358241",
"telephone_number": "989-731-4111",
"fax_number": "989-705-8511"
}
],
"practiceLocations": [
{
"address_1": "10215 Ellsworth Rd",
"address_purpose": "LOCATION",
"city": "East Jordan",
"state": "MI",
"postal_code": "497279128",
"country_code": "US",
"telephone_number": "231-838-7977",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3860 S Straits Hwy",
"address_purpose": "LOCATION",
"city": "Indian River",
"state": "MI",
"postal_code": "497495146",
"country_code": "US",
"telephone_number": "231-238-0581",
"fax_number": "231-238-0586",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3040 Bourn St",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "MI",
"postal_code": "497568134",
"country_code": "US",
"telephone_number": "989-786-4877",
"fax_number": "989-786-2187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCENT",
"first_name": "JOSEPHINE",
"middle_name": "ANNE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-21",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704272967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaylord, MI
- Courtney Vanooyen
- Steffaney Ann Vantil
- Michael J Vanwagner, D.O.
- Rosaria Vasile
- Thomas James Veryser, DDS
- Visions for Your Community Care HHC
- Visions Home Health Care Agency Northwest, Inc
- Kari Martha Visser-Robel, O.D.
- Vital Care Home Medical Equip Inc (McLaren Home Medical Equipment)
- Jenny L Vittitow
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.