Individual provider Active NPI

Julia M Valdespina, FNP-C

  • Nurse Practitioner
  • Wyoming, MI
National Provider Identifier
1508510439
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704323224NSA2201Y Issued in MI
Practice address
2093 Health Dr SW Ste 201
Wyoming, MI 49519-9691
Phone
(616) 452-7099
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704323224NSA2201Y MI Primary

Addresses

Primary practice location

2093 Health Dr SW Ste 201
Wyoming, MI 49519-9691

Mailing address

2093 Health Dr SW
Wyoming, MI 49519-9691

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
I20220509001595 MI Practitioner - Nurse Practitioner 4284011487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Western Michigan PLCGroup PAC ID 2860413051, 4 clinicians

Practice addresses (Care Compare)

2093 Health Dr SW
Suite 201
Wyoming, MI 49519-9691
Phone (616) 452-7099

Hospital & facility affiliations

  • Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Corewell Health Reed City Hospital Hospital, Reed City, MI, CCN 231323
  • University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236
  • Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as group
Quality
71.81
Promoting interoperability
100
Improvement activities
40
Cost
75.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704323224NSA2201YMIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Western Michigan PLC CurrentSince Feb 14, 2022 Accepting new patients

Locations

2093 Health Dr SW
Ste 201
Wyoming, MI 49519
Phone (616) 328-5350

2093 Health Dr SW
Wyoming, MI 49519
Phone (616) 252-5760

Interoperability endpoints

  • Direct secure messaging: jvaldespina128506@direct.metrohealth.net

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.

Hospital & facility affiliations 6

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": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1508510439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 HEALTH DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 HEALTH DR SW STE 201",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199691",
            "telephone_number": "616-452-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDESPINA",
        "first_name": "JULIA",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704323224NSA2201Y",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.