Active NPI
Advanced Practice Integrated Health Staffing, Inc
- Primary Care Clinic/Center
- Benton Harbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ADVANCED PRACTICE INTEGRATED HEALTH STAFFING, INC
- Practice address
- 756 Pipestone St Ste 3
Benton Harbor, MI 49022-4845 - Phone
- (269) 252-1394
- NPI assigned
- May 11, 2020
- Last updated
- Nov 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Janelle Wolske, NP
- Title
- Ceo
- Phone
- (269) 462-9587
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Occupational Medicine Clinic/Center | 261QX0100X | |||
| Physician Assistant | 363A00000X | |||
| Community Health Nurse Practitioner | 363LC1500X | |||
| Family Medicine Physician | 207Q00000X |
Addresses
Primary practice location
756 Pipestone St Ste 3
Benton Harbor, MI 49022-4845
Mailing address
5616 Coloma Rd
Coloma, MI 49038-9752
Phone (269) 252-1394
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134897812 | Medicaid | MI | |
| 1528680816 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | athenanet.athenahealth.com | Direct |
National Provider Directory
National Provider DirectoryLocations
756 Pipestone St
Ste 3
Benton Harbor, MI 49022
Phone (269) 252-1394
Interoperability endpoints
- https://api.platform.athenahealth.com/21571/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Dowagiac, MI
- NPI 1538670344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635724800000",
"number": "1528680816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5616 COLOMA RD",
"city": "COLOMA",
"state": "MI",
"postal_code": "490389752",
"telephone_number": "269-252-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "756 PIPESTONE ST STE 3",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490224845",
"telephone_number": "269-252-1394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PRACTICE INTEGRATED HEALTH STAFFING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-11",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A",
"authorized_official_last_name": "WOLSKE",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "JANELLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "269-462-9587",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134897812",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528680816",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "athenanet.athenahealth.com",
"affiliation": "N",
"endpointDescription": "athena software",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5616 Coloma Rd",
"city": "Coloma",
"state": "MI",
"country_code": "US",
"postal_code": "490389752",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.