Individual provider Active NPI

Christine Claire Nault, FNP-BC

  • Family Nurse Practitioner
  • Tekonsha, MI
National Provider Identifier
1558619908
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704254592 Issued in MI
Practice address
2218 US Highway 27 N
Tekonsha, MI 49092-9261
Phone
(517) 767-4038
NPI assigned
Aug 16, 2012
Last updated
Dec 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704254592 MI Primary

Addresses

Primary practice location

2218 US Highway 27 N
Tekonsha, MI 49092-9261

Mailing address

2218 US Highway 27 N
Tekonsha, MI 49092-9261
Phone (517) 767-4038

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
I20130214000116 MI Practitioner - Nurse Practitioner 6608020953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

215 E Mansion St
1E Oaklawn Medical Group
Marshall, MI 49068-1559
Phone (269) 789-8272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
85.32
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704254592MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle CurrentSince Aug 2, 2021 Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients

Locations

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

215 E Mansion St
Ste 1E
Marshall, MI 49068
Phone (269) 781-3938

Interoperability endpoints

  • Direct secure messaging: christine.nault.1@9698.direct.athenahealth.com

Organizations & group practices 3

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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1558619908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 US HIGHWAY 27 N",
            "city": "TEKONSHA",
            "state": "MI",
            "postal_code": "490929261",
            "telephone_number": "517-767-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 US HIGHWAY 27 N",
            "city": "TEKONSHA",
            "state": "MI",
            "postal_code": "490929261",
            "telephone_number": "517-767-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAULT",
        "first_name": "CHRISTINE",
        "middle_name": "CLAIRE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704254592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tekonsha, MI

Sources for this page

Verify at the official NPI Registry.