Active NPI
Mindy S Houpt, NURSE PRACTITIONER
- Family Nurse Practitioner
- Adrian, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704197035
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497128409 | Medicaid | MI | |
| 0155600 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mhoupt98435@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
781 Lakeshire TRL
Adrian, MI 49221-1561
Phone (517) 265-0600
Hospital & facility affiliations
- Elara Caring
- Promedica Charles and Virginia Hickman Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704197035 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Promedica Central Corporation of Michigan | Current | Accepting new patients | |
| Greater Toledo Urgent Cares, LLC. | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Greater Toledo Urgent Cares, LLC. | Current | 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
- mhoupt98435@direct.promedica.org
- 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.
-
- Urgent Care Clinic/Center
- Temperance, MI
- NPI 1831787738
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jackson, MI
- NPI 1588642110
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; 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.