Active NPI
Mary B. Seger, N.P.
- Gerontology Nurse Practitioner
- Gaylord, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 47404155037
- Practice address
- 829 N Center Ave
Suite 140
Gaylord, MI 49735-1595 - Phone
- (989) 731-7870
- Fax
- (989) 731-7837
- NPI assigned
- Jul 6, 2006
- Last updated
- Dec 3, 2013
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 47404155037 | MI | Primary |
Addresses
Primary practice location
829 N Center Ave
Suite 140
Gaylord, MI 49735-1595
Mailing address
829 N Center Ave
Suite 298
Gaylord, MI 49735-1595
Phone (989) 731-7708
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC4805 | Other | MEDICARE RR PROV ID | |
| OF96004 | Other | MEDICARE GROUP NUMBER | |
| 381303843 | Other | TAX ID | |
| 1156900045 | Other | MI | BCBSM PROVIDER NUMBER |
Other names 1
- Mary B Seger-Noss
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47404155037 | MI | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Petoskey Surgeons, P.C. | Past | Accepting new patients |
Locations
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
829 N Center Ave
Ste 140
Gaylord, MI 49735
Phone (989) 731-7860
829 N Center Ave
Ste 298
Gaylord, MI 49735
Phone (989) 731-7707
Interoperability endpoints
- mseger@direct.mhc.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Munson Healthcare OMH Medical Group-Gaylord RHC
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1164628426
-
dba Munson Healthcare OMH Medical Group-Lewiston
- General Practice Physician
- Lewiston, MI
- NPI 1538328364
-
dba MHC Great Lakes Plastic Surgery & Skin Center- Petoskey
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
-
- Surgery Physician
- Petoskey, MI
- NPI 1730145574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1518998772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 N CENTER AVE",
"address_2": "SUITE 298",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351595",
"telephone_number": "989-731-7708",
"fax_number": "989-731-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 N CENTER AVE",
"address_2": "SUITE 140",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497351595",
"telephone_number": "989-731-7870",
"fax_number": "989-731-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGER",
"first_name": "MARY",
"middle_name": "B.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "47404155037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PROV ID",
"identifier": "CC4805",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "OF96004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "381303843",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PROVIDER NUMBER",
"identifier": "1156900045",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "SEGER-NOSS",
"middle_name": "B",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gaylord, MI
- Daniel Schmidt, PT
- Sierra S Schreiber
- Katelynn Danielle Scott, PHARM. D.
- Kyle Scott
- Christine Ann Seager, M.A. L.P.C.
- Steven Richard Sella, DPM
- David Shammas, DDS
- Meriyah Raie Shampine, LLBSW
- Megan Marie-Madill Sheldon, BEHAVIOR TECHNICIAN
- Sheppard Dental Health and Associates (Alpine Family Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.