Organization Active NPI

Advanced Practice Integrated Health Staffing, Inc

  • Primary Care Clinic/Center
  • Benton Harbor, MI
National Provider Identifier
1528680816
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Lisa Janelle Wolske, NPNPI 1538670344
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1134897812MedicaidMI
1528680816MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL athenanet.athenahealth.com Direct

National Provider Directory

National Provider Directory

Locations

756 Pipestone St
Ste 3
Benton Harbor, MI 49022
Phone (269) 252-1394

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.