Individual provider Active NPI

Paul Raymond Drenth Jr., NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Mount Pleasant, MI
National Provider Identifier
1497367205
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704330961 Issued in MI
Practice address
2790 Health Pkwy
Mount Pleasant, MI 48858-6934
Phone
(989) 956-5320
NPI assigned
Aug 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 4704330961 MI Primary

Addresses

Primary practice location

2790 Health Pkwy
Mount Pleasant, MI 48858-6934

Mailing address

2790 Health Pkwy
Mount Pleasant, MI 48858-6934
Phone (989) 953-5320

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200914001067 MI Practitioner - Nurse Practitioner 0941627145 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlmaGroup PAC ID 3375451404, 140 clinicians
Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians
Midmichigan Health ServicesGroup PAC ID 7911800495, 27 clinicians

Practice addresses (Care Compare)

300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 463-0104

703 N McEwan St
Clare, MI 48617-1440
Phone (989) 802-5120

9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone (989) 422-5122

Hospital & facility affiliations

  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704330961MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Clare CurrentSince Dec 15, 2022 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Dec 15, 2022 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Isabella Citizens for Health, Inc. CurrentSince Aug 31, 2020 Accepting new patients
Mymichigan Medical Center Clare Current Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Sep 1, 2023 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Sep 1, 2023 Accepting new patients
Isabella Citizens for Health Inc CurrentSince Aug 31, 2020 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Sep 1, 2023 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Midmichigan Health Services CurrentSince Nov 4, 2025 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Sep 1, 2023 Accepting new patients
Isabella Citizens for Health Inc Current Accepting new patients
Midmichigan Health Services CurrentSince Nov 4, 2025 Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

9249 W Lake City Rd
Houghton Lake, MI 48629
Phone (989) 422-2183

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2790 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 779-5270

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

Interoperability endpoints

  • Direct secure messaging: pdrenth71407@mymichiganhealth.midirect.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1497367205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PKWY",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488586934",
            "telephone_number": "989-953-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PKWY",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488586934",
            "telephone_number": "989-956-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENTH",
        "first_name": "PAUL",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704330961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

Verify at the official NPI Registry.