Active NPI
Kari Ann Mark, FNP
- Family Nurse Practitioner
- Traverse City, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704276360
- Practice address
- 815 Business Park Dr Ste a
Traverse City, MI 49686-8683 - Phone
- (231) 421-6921
- NPI assigned
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 4704276360 | MI | Primary |
Addresses
Primary practice location
815 Business Park Dr Ste a
Traverse City, MI 49686-8683
Mailing address
4020 Copper VW Ste 104
Traverse City, MI 49684-7041
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ccm@chronic-care.net | Direct | |
| Direct Messaging Address | ccm@chronic-care.net | Direct | |
| Direct Messaging Address | ccm@chronic-care.net | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Great Lakes Therapy Housecalls PC
Practice addresses (Care Compare)
815 Business Park Dr
Suite a
Traverse City, MI 49686-8683
Phone (231) 421-6921
9731 E Cherry Bend Rd
Traverse City, MI 49684-7621
Phone (231) 941-8100
Hospital & facility affiliations
- Residential Home Health and Hospice
- Munson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chronic Care Management LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
204 W Buttles St
Midland, MI 48640
801 Joe Mann Blvd
Ste P-6
Midland, MI 48642
810 Business Park Dr
Ste A
Traverse City, MI 49686
Phone (231) 421-6921
815 Business Park Dr
#A
Traverse City, MI 49686
Phone (231) 421-6921
4020 Copper Vw
Ste 104
Traverse City, MI 49684
Phone (231) 421-6921
4020 Copper Vw
Ste 101
Traverse City, MI 49684
Interoperability endpoints
- npalliative.karimark@149243.advancedmd-direct.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Traverse City, MI
- NPI 1730506726
Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
-
- Home Health Agency
- Saginaw, MI
- NPI 1083341168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1508419177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 COPPER VW STE 104",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 BUSINESS PARK DR STE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496868683",
"telephone_number": "231-421-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARK",
"first_name": "KARI",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704276360",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccm@chronic-care.net",
"affiliation": "N",
"endpointDescription": "Chronic Care email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "4020 Copper Vw Ste 104",
"city": "Traverse City",
"state": "MI",
"country_code": "US",
"postal_code": "496847041",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccm@chronic-care.net",
"affiliation": "N",
"endpointDescription": "Chronic Care e-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "810 Business Park Dr Ste A",
"city": "Traverse City",
"state": "MI",
"country_code": "US",
"postal_code": "496868683",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccm@chronic-care.net",
"affiliation": "N",
"endpointDescription": "Chronic Care e-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "815 Business Park Dr Ste A",
"city": "Traverse City",
"state": "MI",
"country_code": "US",
"postal_code": "496868683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.
- 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.