Active NPI
Michael D Coe II, AGNP
- Nurse Practitioner
- Lansing, MI
National Provider Identifier
1568057750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704277638
- Practice address
- 1200 E Michigan Ave Ste 520
Lansing, MI 48912-1899 - Phone
- (517) 364-5260
- Fax
- (517) 364-5251
- NPI assigned
- Mar 9, 2021
- Last updated
- Jun 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704277638 | MI | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 4704277638 | MI |
Addresses
Primary practice location
1200 E Michigan Ave Ste 520
Lansing, MI 48912-1899
Mailing address
804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 364-5260
Other practice location 1
5211 Marsh Rd
Okemos, MI 48864-1106
Phone (517) 319-1400
Other practice location 2
2100 E Provincial House Dr
Lansing, MI 48910-4884
Phone (517) 272-4029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704277638 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msu Health Care Inc. | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- East Lansing, MI
- NPI 1275165052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1568057750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A109B",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-364-5260",
"fax_number": "517-364-5251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E MICHIGAN AVE STE 520",
"city": "LANSING",
"state": "MI",
"postal_code": "489121899",
"telephone_number": "517-364-5260",
"fax_number": "517-364-5251"
}
],
"practiceLocations": [
{
"address_1": "5211 Marsh Rd",
"address_purpose": "LOCATION",
"city": "Okemos",
"state": "MI",
"postal_code": "488641106",
"country_code": "US",
"telephone_number": "517-319-1400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 E Provincial House Dr",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489104884",
"country_code": "US",
"telephone_number": "517-272-4029",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COE",
"first_name": "MICHAEL",
"middle_name": "D",
"name_suffix": "II",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-09",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704277638",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4704277638",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.