Individual provider Active NPI

Mindy S Houpt, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Adrian, MI
National Provider Identifier
1497128409
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704197035 Issued in MI
Practice address
901 Kimole LN Ste A4
Adrian, MI 49221-1491
Phone
(517) 265-0680
Fax
(517) 263-8012
NPI assigned
Nov 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2024

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 4704197035 MI Primary

Addresses

Primary practice location

901 Kimole LN Ste A4
Adrian, MI 49221-1491

Mailing address

100 Madison Ave
Toledo, OH 43604-1516

Other practice location 1

781 Lakeshire Trl
Adrian, MI 49221-1561
Phone (517) 265-0600

Other identifiers 2

IdentifierTypeStateIssuer
1497128409MedicaidMI
0155600MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhoupt98435@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160205002409 OH Practitioner - Nurse Practitioner 8022312313 Reassigns benefits to 2 organizations
I20160927001302 MI Practitioner - Nurse Practitioner 8022312313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promedica Central Corporation of MichiganGroup PAC ID 7012902265, 112 clinicians

Practice addresses (Care Compare)

781 Lakeshire TRL
Adrian, MI 49221-1561
Phone (517) 265-0600

Hospital & facility affiliations

  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704197035MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Dec 1, 2018 Accepting new patients
Promedica Central Corporation of Michigan CurrentSince Sep 1, 2016 Accepting new patients
Greater Toledo Urgent Cares, LLC. CurrentSince Jan 25, 2016 Accepting new patients
Promedica Central Physicians CurrentSince Dec 1, 2018 Accepting new patients
Greater Toledo Urgent Cares, LLC. CurrentSince Jan 25, 2016 Accepting new patients

Locations

781 Lakeshire Trl
Adrian, MI 49221
Phone (517) 263-2187

901 Kimole Ln
Ste A4
Adrian, MI 49221
Phone (517) 263-6140

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

5700 Monroe St
Unit 111
Sylvania, OH 43560
Phone (567) 585-0005

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2627 Tremainsville Rd
Toledo, OH 43613
Phone (419) 214-0790

4405 N Holland Sylvania Rd
Toledo, OH 43623
Phone (910) 297-7270

1 Seagate
Ste 800
Toledo, OH 43604

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

Interoperability endpoints

  • Direct secure messaging: mhoupt98435@direct.promedica.org
  • Direct secure messaging: mhoupt821916@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1497128409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 KIMOLE LN STE A4",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211491",
            "telephone_number": "517-265-0680",
            "fax_number": "517-263-8012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "781 Lakeshire Trl",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492211561",
            "country_code": "US",
            "telephone_number": "517-265-0600",
            "fax_number": "517-263-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUPT",
        "first_name": "MINDY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704197035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497128409",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155600",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhoupt98435@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.