Individual provider Active NPI

Maria Horton, MSN, AGPCNP BC

  • Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1528519956
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704248039 Issued in MI
Practice address
3023 Davenport Ave
Saginaw, MI 48602-3652
Phone
(989) 907-2761
Fax
(989) 907-2762
NPI assigned
Oct 20, 2016
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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 4704248039 MI Primary

Addresses

Primary practice location

3023 Davenport Ave
Saginaw, MI 48602-3652

Mailing address

4503 Hancock Dr
Midland, MI 48642-5893
Phone (989) 430-7803

Other practice location 1

4503 Hancock Dr
Midland, MI 48642-5893
Phone (989) 430-7803

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria.horton@direct.medfusion.comdirect.medfusion.com

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
I20161111001330 MI Practitioner - Nurse Practitioner 1658650718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Bay Health CentersGroup PAC ID 2466369046, 85 clinicians

Practice addresses (Care Compare)

3023 Davenport Ave
Saginaw, MI 48602-3652
Phone (989) 907-2761

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704248039MIMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: horton.maria.004.0220017@mbpa.meditab.direct-ci.com
  • Direct secure messaging: maria.horton.1@27771.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1528519956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 HANCOCK DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486425893",
            "telephone_number": "989-430-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 DAVENPORT AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023652",
            "telephone_number": "989-907-2761",
            "fax_number": "989-907-2762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4503 Hancock Dr",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486425893",
            "country_code": "US",
            "telephone_number": "989-430-7803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORTON",
        "first_name": "MARIA",
        "credential": "MSN, AGPCNP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704248039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria.horton@direct.medfusion.comdirect.medfusion.com",
            "affiliation": "N",
            "address_1": "3023 Davenport Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486023652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.