Active NPI
Seth Moldenhauer
- Family Nurse Practitioner
- Midland, MI
National Provider Identifier
1487574711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704378121
- Practice address
- 4000 Wellness Dr
Midland, MI 48670-2000 - Phone
- (989) 839-3000
- NPI assigned
- Jul 17, 2026
- Last updated
- Oct 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704378121 | MI | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 4704378121 | MI |
Addresses
Primary practice location
4000 Wellness Dr
Midland, MI 48670-2000
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704378121 | MI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1487574711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 WELLNESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486702000",
"telephone_number": "844-832-1956",
"fax_number": "989-633-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 WELLNESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486702000",
"telephone_number": "989-839-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLDENHAUER",
"first_name": "SETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-17",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704378121",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MI",
"license": "4704378121",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.